This final rule implements
section 6411 of the Patient Protection
and Affordable Care Act (the Affordable
Care Act), and provides guidance to
States related to Federal/State funding
of State start-up, operation and
maintenance costs of Medicaid
Recovery Audit Contractors (Medicaid
RACs) and the payment methodology
for State payments to Medicaid RACs.
This rule also directs States to assure
that adequate appeal processes are in
place for providers to dispute adverse
determinations made by Medicaid
RACs. Lastly, the rule directs States to
coordinate with other contractors and
entities auditing Medicaid providers
and with State and Federal law
enforcement agencies.
Received Date:
September 16 2011, at 12:00 AM Eastern Daylight Time
Medicaid Program; Recovery Audit Contractors
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