Recovery Audit Contractor Medicaid State Plan Amendment 25-0021 Public Notice

Notice: Recovery Audit Contractor Medicaid State Plan Amendment 25-0021 Public Notice is now available online.

Description: HCA intends to submit Medicaid State Plan Amendment (SPA) 25-0021 to reflect the agency’s change in operations from a Medicaid Recovery Audit Contractor (RAC) exception to the acquisition of a Medicaid RAC. The purpose of HCA’s Medicaid RAC program is to reduce improper payments to HCA’s Medicaid providers through the efficient detection and collection of overpayments, the identification of underpayments, the reporting of suspected fraudulent activities, and the identification of actions that will prevent future improper payments.