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Future Changes

February 18, 2014 - CMS is making a number of changes to the Recovery Audit Program, which will be effective with the next contractor awards.  See RAC Program Improvements in the Downloads section below.

January 8, 2014 - The CMS plans to contract with four A/B Recovery Auditors and one national DME and Home Health/Hospice Recovery Auditor. Maps of the new jurisdictions are below in the Downloads section. The CMS plans to award these contracts in 2014.

May 22, 2013 - The CMS has begun the procurement process for the new Medicare Fee for Service Recovery Audit Program contracts.  A Request for Quote (RFQ) was issued through the General Services Administration.  The CMS plans to contract with four A/B Recovery Auditors and one national DME and Home Health/Hospice Recovery Auditor.  New maps of the jurisdictions are below in the Downloads section.
The CMS has implemented a transition plan to minimize the amount of outstanding work that will transition to the new contracts.  The Recovery Audit program will continue during the transition, although there will be some decline in activity.  
Providers should be aware of the following:
• Additional Documentation Requests (ADRs) may begin to decline in Summer 2013
• All prepayment reviews will continue without decline
• Post-payment manual therapy reviews will continue without decline
Providers should contact RAC@cms.hhs.gov for questions concerning the transition.  CMS will continue to update this Website with more information on the procurement and transition as information is available.