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HHS/CMS | RIN: 0938-AQ19 | Publication ID: Fall 2010 |
Title: ●Use of Recovery Audit Contractors (CMS-6034-P) | |
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. | |
Agency: Department of Health and Human Services(HHS) | Priority: Economically Significant |
RIN Status: First time published in the Unified Agenda | Agenda Stage of Rulemaking: Proposed Rule Stage |
Major: Yes | Unfunded Mandates: State, local, or tribal governments; Private Sector |
CFR Citation: Not Yet Determined (To search for a specific CFR, visit the Code of Federal Regulations.) | |
Legal Authority: PL 111-148, sec 6411 PL 111-152 |
Legal Deadline:
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Timetable:
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Regulatory Flexibility Analysis Required: No | Government Levels Affected: State |
Small Entities Affected: Businesses, Governmental Jurisdictions | Federalism: Yes |
Included in the Regulatory Plan: No | |
RIN Data Printed in the FR: No | |
Agency Contact: Joanne Davis Health Insurance Specialist Department of Health and Human Services Centers for Medicare & Medicaid Services Mail Stop B2-15-24, 7500 Security Boulevard, Baltimore, MD 21244 Phone:410 786-5127 Fax:410 786-0711 Email: joanne.davis@cms.hhs.gov |