Recovery Audit Contractor (RAC) programs target Medicare and Medicaid payments CMS deems inappropriate and return under and overpayments to the federal government and health care providers.
CMS has temporarily suspended its RFP for a new Ohio Medicare RAC Contractor
. Until the new Medicare RAC bid is restarted, CGI Federal
remains Ohio's Medicare RAC. The Ohio Department of Medicaid has an RFP out for a new Ohio Medicaid RAC. OHA expects a new Ohio Medicaid RAC to be announced in fall 2015.
Health Insurance Marketplace
On October 1, 2013, the federal g
overnment launched HealthCare.gov, which is also known as the health insurance exchange
or marketplace. In Ohio, the exchange is federally facilitated, but the state retains certain authorities to manage and oversee the insurers offering plans on the exchange.