42 CFR § 455.504 Program Integrity: Medicaid

§ 455.504 Definitions.

Current through Oct 8, 2026 · Read all of Part 455

As used in this subpart—

Medicaid RAC program means a recovery audit contractor program administered by a State to identify overpayments and underpayments and recoup overpayments.

Medicare RAC program means a recovery audit contractor program administered by CMS to identify underpayments and overpayments and recoup overpayments, established under the authority of section 1893(h) of the Act.

← § 455.502 Establishment of program.§ 455.506 Activities to be conducted by Medicaid RACs and States. →