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CMSRulemakingCMS-2010-0252

Recovery Audit Contractors

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American Health Care Association (AHCA/NCAL) filings
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American Health Care Association (AHCA/NCAL) filed 1 comment on this docket between Jan 13, 2011 and Jan 13, 2011. 41 other organizations filed here. The comment window closed 5678d ago.

What American Health Care Association (AHCA/NCAL) filed (1)

Jan 13, 2011· DC--American Health Care Association· CMS-2010-0252-0074

Filed on regulations.gov — full text not in the inline record.

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Abstract

This proposed rule would provide 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 in accordance with section 6411 of the Affordable Care Act. In addition, this rule proposes requirements for States to assure that adequate appeals processes are in place for providers to dispute adverse determinations made by Medicaid RACs. Finally, the rule proposes that States and Medicaid RACs coordinate efforts with existing contractors and entities auditing Medicaid providers and with State and Federal law enforcement agencies. (The Affordable Care Act requires States and territories to establish a Medicaid RAC program by December 31, 2010. We are proposing that States fully implement and execute the Medicaid RAC program by April 1, 2011. CMS has been working with States to make them aware of the statutory requirements. In fact, a State Medicaid Director Letter was released on October 1, 2010 to give States initial guidance; however, we are requesting publication of theproposed rule as soon as possible.)

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Co-filers (41)

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