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 5 includes jurisdictions: JA, JB, JC, JD, as well as the HH/H MACs: J6, J15, JK, and JM.
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.
CMS anticipates Cotiviti GOV Services LLC will begin reviews in the Summer (2025). 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.
The new DMEPOS RAC, Cotiviti GOV Services, will update its website soon with the CMS approved issues for review for Region 5.
Did you Know?
If you receive an audit request, The van Halem Group can help! Our team of experts can assist you in file review and audit response submission. Beyond the audit process, we offer appeal support and corrective action plans. Contact us today to learn more about the ways we can help!