State Medicaid RACs At-A-Glance

Section 6411 of the Affordable Care Act of 2010 required States and territories to establish Medicaid Recovery Audit Contractor (RAC) programs. Medicaid RACs are tasked with identifying and recovering Medicaid overpayments and identifying underpayments. As an initial step for establishing their RAC programs, jurisdictions are expected to submit a Medicaid State Plan amendment (SPA) that addresses some of the essential elements of their RAC program.

The map below summarizes the status of each jurisdiction’s RAC program, based on the information submitted in its SPA. During the implementation phase of these RAC programs, this website will be updated on an ongoing basis.

If you would like information on Medicare RACs, please click here.

LEGEND
	No SPA Submitted
	SPA Submitted
	SPA Approved

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Last Updated: 2/16/2011) 
As soon as Michigan is approved (which will probably be in the next few decades), I am going to submit as a RAC and sit back and laugh as they refuse my submission for some stupid reason.


Anyway, what is going on with the States Medicaid Fraud Control Units?  Last time I checked each received substantial amount of funding to go after Medicaid fraud.


And do not forget those States with False Claims Acts, how come there is such a challenge in filing qui tam actions?


I know!  When a private person files under the Federal False Claims Act in dealing with Medicaid fraud with a privately contracted entity of the state, there are those nasty litigation fees which defeats the purpose of outsourcing its dirty work to Recovery Act Contractors who only get a teeny-tiny piece of the bounty.  Not only that, the dirty little secrets of the States stay under wraps.


Watch Maura Corrigan put her hands all up this one.


Stay tuned...


BTW, American Certified Fraud Examiners are not qualified to apply as RACs because they do not believe there is fraud in child welfare.