dockets: CMS-2010-0252

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id agency_id title docket_type last_modified object_id rin dkabstract category subtype keywords program short_title effective_date organization attrs_raw attr_source
CMS-2010-0252 CMS Recovery Audit Contractors Rulemaking 2021-04-21T01:00:42Z 0b00006480b76cb3 0938-AQ19 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.)               {"displayProperties": [], "keywords": null, "modifyDate": "2021-04-21T01:00:42Z", "dkAbstract": "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.)", "agencyId": "CMS", "program": null, "shortTitle": null, "subType2": null, "title": "Recovery Audit Contractors", "generic": null, "field1": null, "docketType": "Rulemaking", "petitionNbr": null, "rin": "0938-AQ19", "organization": null, "legacyId": null, "subType": null, "category": null, "field2": null, "effectiveDate": null, "objectId": "0b00006480b76cb3"} single_get

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