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Washington State Dental Association

ACA's Medicaid Audit Program Well-Intended but Flawed, ADA Tells Senate Roundtable

The implementation of an Affordable Care Act provision allowing private contractors to demand patient records and conduct audits on providers is having a negative effect on some Medicaid dental programs, Dr. Jessica Meeske told a Senate panel July 9. Read Dr. Meeske's full roundtable testimony (in letter form).

Representing the ADA, Dr. Meeske participated in a roundtable discussion hosted by the Senate Special Committee on Aging at which committee members heard about the problems associated with the Medicaid Recovery Audit Contractor (RAC) program. While the ADA supports efforts to rein in fraud in Medicaid, it believes the RAC program as currently operated is seriously flawed.

RAC audits "lack transparency and an opportunity for feedback due largely to a breakdown in communication," Dr. Meeske said. "I fear that the impact may negatively affect dental services for this population."
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