CMS Initiates Payment Year 2021 RADV Audits – Published 05/29/2026 (PDF)
CMS notified Medicare Advantage organizations with contracts selected for PY 2021 RADV audits on May 29, 2026. Click the headline above to go to the RADV Documents and Data page to view the PY 2021 MA Audit Methods & Instructions, list of audited contracts, and updated FAQ document.CMS Initiates Payment Year 2020 RADV Audits – Published 03/20/2026 (PDF)
CMS notified Medicare Advantage organizations with contracts selected for PY 2020 RADV audits on March 20, 2026. Click the headline above to go to the RADV Documents and Data page to view the PY 2020 MA Audit Methods & Instructions and list of audited contracts.- RADV Audit Timeline – Published 03/04/2026 (PDF)
View the estimated RADV audit initiation schedule for payment years 2020 through 2025 on the RADV Documents and Data page. Please note that the order of years audited may not be sequential.
- RADV Questions and Answers – Published 03/04/2026 (PDF)
View the new, consolidated RADV Questions and Answers document on the RADV Documents and Data page to see new Q&As and updates to previously published Q&As.
- Payment Year 2014 Payment Error Calculation (PEC) Methodology and Audit Results – Published 03/04/2026 (PDF)
Navigate to the RADV Documents and Data page to view the PY 2014 PEC Methodology and audit results.
- Payment Year 2015 PEC Methodology and Audit Results – Published 03/04/2026 (PDF)
Navigate to the RADV Documents and Data page to view the PY 2015 PEC Methodology and audit results.
- Payment Year 2018 MA RADV Audit Methods & Instructions – Updated 07/21/2025 (PDF)
The document provided to Medicare Advantage Organizations with contracts selected for a payment year 2018 contract-specific RADV audit has been updated. See the document history to view the updates. Audited MA contracts separately received a version of this document in the RADV secure system plan portal.
- Payment Year 2019 MA RADV Audit Methods & Instructions – Updated 06/26/2025 (PDF)
The document provided to Medicare Advantage Organizations with contracts selected for a payment year 2019 contract-specific RADV audit has been updated. See the document history to view the updates. CMS sent audit notices to points of contact for audited contracts in the Health Plan Management System.
- Payment Year 2019 RADV Questions and Answers – Updated 06/26/2025 (PDF)
View the updated document to see the complete list of audited contracts for PY 2019 and other updates.
- Payment Year 2018 RADV Questions and Answers – Updated 06/13/2025 (PDF)
View the recently published RADV Questions and Answers page for general and payment year specific questions and answers about the MA RADV program.
- Payment Year 2013 RADV Questions and Answers – Updated 06/13/2025 (PDF)
View questions and answers about payment year 2013 RADV audit reports.
- Payment Year 2013 MA RADV Payment Error Calculation Methodology – Published 05/13/2025 (PDF)
View the Payment Error Calculation Methodology used for payment year 2013 contract-specific RADV audit reports.
- Payment Year 2012 MA RADV Payment Error Calculation Methodology – Published 05/13/2025 (PDF)
View the Payment Error Calculation Methodology used for payment year 2012 contract-specific RADV audit reports.
- Payment Year 2012 RADV Questions and Answers – Published 05/13/2025 (PDF)
View questions and answers about payment year 2012 RADV audit reports.
- Payment Year 2011 MA RADV Payment Error Calculation Methodology - Published 01/16/2025 (PDF)
View the Payment Error Calculation Methodology used for 30 payment year 2011 contract-specific RADV audit reports that were recently issued.
- Payment Year 2011 RADV Questions and Answers - Published 01/16/2025 (PDF)
View questions and answers about payment year 2011 RADV audit reports recently issued to 30 MA contracts.
- MA RADV Audit Dispute and Appeal Guidance Level 1: Reconsideration - Published 01/16/2025 (PDF)
View guidance regarding first-level reconsideration rights afforded to Medicare Advantage organizations in response to issued audit reports.
Page Last Modified:
05/29/2026 04:21 PM