MACPAC To Congress: Medicaid RACs Should Be Optional

By James Romoser / April 12, 2019 at 6:19 PM
Federal Medicaid advisers voted Thursday (April 11) to recommend that Congress eliminate the requirement for states to establish a Recovery Audit Contractor program. Medicaid RACs review payments to providers in fee-for-service Medicaid and attempt to identify and correct improper payments. Federal law requires states to have Medicaid RAC programs, but the Medicaid and CHIP Payment and Access Commission found that, while the programs worked in some states, other states have had difficulties procuring auditors or have found the program to...


Not a subscriber? Sign up for 30 days free access to exclusive, detailed reporting on drug pricing reforms, Medicaid policy, FDA news and much more.