Earlier this month, CMS launched a State Medicaid Recovery Audit Contractor (RAC) “At-A-Glance” website. The website provides a map that summarizes the status of each jurisdiction’s RAC program. Information includes whether CMS has received a state plan amendment (SPA), whether an exception has been requested, and the type of RAC fee structure. CMS will update the website on an ongoing basis.
Pursuant to Section 6411 of the Patient Protection and Affordable Care Act, states are required to establish a Medicaid RAC program in order to help identify and recover Medicaid overpayments, among other things. States must submit a SPA that addresses some of the key elements of their RAC program as set forth in the proposed rule, available at 75 Fed. Reg. 69037 (Nov. 10, 2010). According to a CMS bulletin dated February 1, 2011 (CPI-B 11-03), the original Medicaid RAC implementation date of April 1, 2011 has been delayed until a final rule is issued, which will be later this year.
Based on the website, all states and U.S. territories have submitted their Medicaid SPA except for the District of Columbia, and CMS has approved 10 SPAs. The At-A-Glance website is available by clicking here, and the proposed rule is available by clicking here.