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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.
Alivia Analytics, LLC (Alivia) was selected to be Alabama Medicaid's RAC effective October 1, 2024.
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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.
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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.
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Questions regarding the audits should be directed to Jamie Cousins, RAC Program Manager, at jamie.cousins@medicaid.alabama.gov or Yulonda Carter, Recipient Review Associate Director, at yulonda.carter@medicaid.alabama.gov.