On April 28, the Centers for Medicare and Medicaid Services awarded Cotiviti GOV Services LLC, the Recovery Audit Contractor (RAC) Region 5 contract, in addition to contracts for two other Medicare Part A and B RAC contracts.

CMS’ previous contractor for home health and hospice RAC, Performant, will remain under contract with CMS to support the RAC Program from an administrative and appeals perspective for home health and hospices, while 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 last approved issue for Performant’s home health and hospice RAC audit contract was a December 2023 Hospice Care-Extended Length of Stay audit Medical Supplies Billed from Consolidated Billing List During a Home Health Episode: Unbundling in June 2023.