WEST VIRGINIA MEDICAID PROGRAM
STATE PLAN AMENDMENT 17-002
RECOVERY AUDIT CONTRACTOR (RAC) PROGRAM
Pursuant to 42 U.S.C. §1396a(a)(13)(1997) and 42 C.F.R. §447.205, the Department of Health and Human Resources (“Department”), Bureau for Medical Services (“BMS”) provides notice of the filing of a state plan amendment (SPA), identified as SPA 17-002, regarding recovery audit contractor (RAC) program. The SPA exempts West Virginia from the RAC program, a program which mandates procurement of a contractor to perform Medicaid provider audits. The primary reason for the exemption is that there are no interested vendors in performing the audits, as most of West Virginia’s Medicaid population is in the managed care program, which is not subject to RAC.
This SPA will be effective on October 1, 2017. The expected fiscal impact for fiscal year 2018 is $0. The expected fiscal impact for fiscal year 2019 is $0.
The SPA can be found by clicking on the link below or will be available for public inspection in each county office of the Department of Health and Human Resources during normal business hours, 8:30 a.m. to 4:30 p.m., beginning Friday, September 29, 2017 through Monday, October 30, 2017.
Written comments may be sent to the West Virginia Department of Health and Human Resources, Bureau for Medical Services, 350 Capitol Street, Suite 251, Charleston, WV 25301-3706, or by email at SPAComments@wv.gov
. Any written comments received will be available for review at the above address during normal business hours, 8:30 a.m. to 4:30 p.m., beginning Friday, September 29, 2017 through Monday, October 30, 2017. Comments will also be posted on the BMS website referenced above for review as soon as possible.