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GAO-12-95R 1 (2011-10-03)

handle is hein.gao/gaobadogc0001 and id is 1 raw text is: A GAO Accountability * Integrity * Reliability United States Government Accountability Office Washington, DC 20548 B-322488 October 3, 2011 The Honorable Max Baucus Chairman The Honorable Orrin G. Hatch Ranking Member Committee on Finance United States Senate The Honorable Fred Upton Chairman The Honorable Henry A. Waxman Ranking Member Committee on Energy and Commerce House of Representatives Subject: Department of Health and Human Services, Centers for Medicare & Medicaid Services: Medicaid Program; Recovery Audit Contractors Pursuant to section 801 (a)(2)(A) of title 5, United States Code, this is our report on a major rule promulgated by the Department of Health and Human Services, Centers for Medicare & Medicaid Services (CMS), entitled Medicaid Program; Recovery Audit Contractors (RIN: 0938-AQ19). We received the rule on September 14, 2011. It was published in the Federal Register as a final rule on September 16, 2011. 76 Fed. Reg. 57,808. The final rule implements section 6411 of the Patient Protection and Affordable Care Act and provides guidance to states related to the federal/state funding of state start- up costs of Medicaid Recovery Audit Contractors (RACs) and the payment methodology for state payments to Medicaid RACs. The final rule directs states to assure that adequate appeal processes are in place for providers to dispute adverse determinations by Medicaid RACs, and directs states to coordinate with other contractors and entities auditing Medicaid providers and with state and federal law enforcement agencies. Enclosed is our assessment of CMS's compliance with the procedural steps required by section 801 (a)(1)(B)(i) through (iv) of title 5 with respect to the rule. Our review of GAO-12-95R

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