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OK SPA 24-0025 Recovery Audit Contractor (RAC) Exception

Section 1902(a)(42) of the Social Security Act requires states to use a Recovery Audit Contractor (RAC) to identify both underpayments and overpayments in Medicaid, and to recover any overpayments. CMS previously approved the Oklahoma Health Care Authority’s request for an exception from the Medicaid Recovery Audit Contractor RAC Program due to the agency’s program integrity processes. OHCA is seeking an amendment to the state plan to extend this exception for an additional two years retroactively to April 1, 2024.

Please view the draft SPA here: OK SPA #24-0025 and submit feedback via the comment box.

Circulation Date: 10/25/2024

Tribal Consultation: 11/5/2024

Comment Due Date: 11/9/2024

Effective Date: 04/01/2024, Contingent Upon CMS Approval

Submit a Comment

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After you submit your comment, you should be re-directed to a confirmation page. If you are not, please submit your comment through e-mail to federal.authorities@okhca.org.

Please note that all comments must be reviewed and approved prior to posting. Approved comments will be posted Monday through Friday between the hours of 7:30 a.m. – 4 p.m. Any comments received after 4 p.m. will be posted on the following business day.

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Last Modified on Oct 25, 2024
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Oklahoma Health Care Authority

4345 N Lincoln Blvd

Oklahoma City, OK 73105

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The Oklahoma Health Care Authority collects the personally identifiable data submitted and received in regard to applications for services, renewals, appeals, provision of health care and processing of claims. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. OHCA may share this personally identifiable data with its authorized business associates, government agencies with jurisdiction over the OHCA, or as otherwise required or permitted by applicable law.