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CMSRulemakingCMS-2010-0252

Recovery Audit Contractors

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National Association of Chain Drug Stores filings
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National Association of Chain Drug Stores filed 1 comment on this docket between Jan 12, 2011 and Jan 12, 2011. 41 other organizations filed here. The comment window closed 5678d ago.

What National Association of Chain Drug Stores filed (1)

Jan 12, 2011· VA-National Association of Chain Drug Stores· CMS-2010-0252-0058

The National Association of Chain Drug Stores (NACDS) is pleased to submit the attached comments to the Centers for Medicare & Medicaid Services (CMS) regarding our views on the proposed regulation published on Wednesday, November 10, 2010 in the Federal Register. That proposed regulation requires states to establish through the state plan amendment process, a program under which the state contracts with one or more recovery audit contractors (RACs) for purposes of reviewing post-payment claims and identifying underpayments and overpayments and recoup overpayments.

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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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