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Out With The Old RAC, In With The New

Published in VGM Government Relations on June 03, 2025

On April 28, 2025, CMS awarded Cotiviti GOV Services LLC, the new RAC Recovery Audit Contractor (RAC) Region 3, 4, and 5 contracts. RAC Region 3 includes the following Medicare Administrative Contractor (MAC) jurisdictions: JJ, JM, and JN. RAC Region 4 includes jurisdictions: JE, JF, and JL. And RAC Region 5 includes jurisdictions: JA, JB, JC, JD, as well as the HH/H MACs: J6, J15, JK, and JM. 

In RAC Regions 3 and 4, Cotiviti GOV Services LLC is the incumbent. Performant, the RAC previously responsible for reviews in RAC Region 5, remains under contract with CMS to support the RAC Program from an administrative and appeals perspective in this region, while Cotiviti GOV Services LLC will soon start active reviews.

In all the three newly awarded RAC Regions, CMS anticipates Cotiviti GOV Services LLC will begin reviews in the summer. RAC Region 5 providers can rely on the review completion date specified in the review results letter, as well as the RAC’s name on the letter, to identify which contractor to reach for inquiries. If Performant receives inquiries regarding reviews conducted by Cotiviti GOV Services LLC, Performant customer service will inform providers to reach out to Cotiviti GOV Services LLC and vice versa.

Medicare Fee for Service Recovery Audit Program | CMS

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