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Archive for Managed care


AHA comments on Medicaid RAC proposed rule

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On December 20, the American Hospital Association (AHA) issued a letter to CMS containing comments on the Medicaid RAC proposed rule. Some highlights of the recommendations of the AHA include:

  • Exempting states with Medicaid Integrity Programs (MIPs), Medicaid managed care program or other Medicaid audit programs from the requirement to establish a Medicaid RAC program.
  • Issuing a revision to the proposed rule that will incorporate problems that were identified and addressed in the Medicare RAC demonstration program.
  • Urging CMS not to limit the education efforts to the RAC process.

In addition, the AHA addressed a number of specific areas of concern that CMS should adjust in the final rule.

View the AHA letter here: