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HHS/CMS RIN: 0938-AR86 Publication ID: Spring 2013 
Title: ●Establishment of Appeals Process for Medicare Part C and Part D Recovery Audit Contractor (RAC) Determinations (CMS-6052-P) 
Abstract: This proposed rule would establish an appeals process for Parts C and D RAC determinations. The Medicare Parts C and D RAC program was authorized under the Affordable Care Act. No process currently exists for Parts C and D contractors to appeal the findings of RACs. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 422    42 CFR 423   
Legal Authority: PL 111-148, sec 6411 (b)   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  02/00/2014 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
John Spiegel
Director, Division of Policy and Regulatory Development, Medicare Program Integrity Group
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Program Integrity, MS: AR-18-50, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-1909
Fax:410 786-0604
Email: john.spiegel@cms.hhs.gov