Provider Review

Recovery Audit Contractor (RAC) Audits

About RAC Audits
  • Mandatory provisions of the Affordable Care Act require the Alabama Medicaid Agency to select and provide oversight for a Medicaid Recovery Audit Contractor (RAC) to perform provider audits. The Agency is in the process of procuring a new RAC vendor.

  • The RAC program is designed to improve payment accuracy by identifying under and overpayments in Medicaid. The Medicaid RAC program is a separate program from the Medicare RAC which is overseen by the Centers for Medicare and Medicaid Services.

  • Providers are reminded that the Alabama Administrative Code, the Provider Manual and their Provider Agreements require compliance with requests for medical records for Medicaid program audits.

  • Questions regarding the audits should be directed to Yulonda Carter, RAC Program Manager, at yulonda.carter@medicaid.alabama.gov or Beverly Churchwell, Director, at beverly.churchwell@medicaid.alabama.gov.