May 14, 2025 – On April 28, 2025, CMS awarded Cotiviti, LLC, the new RAC Recovery Audit Contractor (RAC) Region 3, 4, and 5 contracts. RAC Region 3 includes the following Medicare Administrative Contractor (MAC) jurisdictions: JJ, JM, and JN. RAC Region 4 includes jurisdictions: JE, JF, and JL, and RAC Region 5 includes jurisdictions: JA, JB, JC, JD, as well as the HH/H MACs: J6, J15, JK, and JM.
In RAC Regions 3 and 4, Cotiviti is the incumbent. 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 will soon start active reviews.
In all the 3 newly awarded RAC Regions, CMS anticipates Cotiviti 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, Performant customer service will inform providers to reach out to Cotiviti and vice versa.
Source: CMS Medicare Fee-for-Service Recovery Audit Program