{"id":11,"date":"2024-10-15T18:33:12","date_gmt":"2024-10-15T18:33:12","guid":{"rendered":"http:\/\/alivia-rac.local\/?page_id=10"},"modified":"2026-02-09T14:33:03","modified_gmt":"2026-02-09T19:33:03","slug":"alabama","status":"publish","type":"page","link":"https:\/\/rac.aliviaanalytics.com\/alabama\/","title":{"rendered":"Alabama Recovery Audit Contract (RAC)"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">The Affordable Care Act requires the Alabama Medicaid Agency to select and provide oversight for a Medicaid Recovery Audit Contractor (RAC) to perform provider audits. The RAC program is focused on improving payment accuracy by identifying underpayments and overpayments in Medicaid.&nbsp; This program is separate and apart from the Medicare RAC which is overseen by the Centers for Medicare and Medicaid Services (CMS).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Alivia has been informed and is aware of the critical role that all providers play in the Medicaid program and requires that reviewers be professional, objective, and consistent in performing all required audits\/reviews.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Recent Updates<\/h2>\n\n\n\n<div class=\"wp-block-query is-layout-flow wp-block-query-is-layout-flow\"><ul style=\"font-style:normal;font-weight:700\" class=\"columns-1 wp-block-post-template is-layout-grid wp-container-core-post-template-is-layout-97ca4551 wp-block-post-template-is-layout-grid\"><li class=\"wp-block-post post-367 post type-post status-publish format-standard hentry category-updates\">\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-b8a754df wp-block-group-is-layout-flex\">\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-c2345a03 wp-block-group-is-layout-flex\" style=\"margin-top:0;margin-bottom:0;padding-top:0;padding-right:0;padding-bottom:0;padding-left:0\"><div class=\"wp-block-post-date\"><time datetime=\"2026-05-12T13:46:53-04:00\">May 2026<\/time><\/div>\n\n<h2 style=\"padding-top:0;padding-bottom:0;margin-top:0;margin-bottom:0\" class=\"wp-block-post-title has-medium-font-size\"><a href=\"https:\/\/rac.aliviaanalytics.com\/alabama\/updates\/alabama-rac-audits-begin-may-6-2026\" target=\"_self\">Alabama RAC Audits Begin May 6, 2026<\/a><\/h2><\/div>\n<\/div>\n\n\n<div style=\"font-style:normal;font-weight:400;margin-top:0;margin-bottom:0\" class=\"wp-block-post-excerpt\"><p class=\"wp-block-post-excerpt__excerpt\">Effective May 6, 2026, and with approval from the Alabama Medicaid Agency, Alivia will begin submitting notices of Recovery Audit Contractor (RAC) audits to Alabama Medicaid providers. If you receive an audit notice or medical record request letter, please log in to Alivia&#8217;s secure Provider Portal and create a user account. To access the list of active audits, please navigate to the Improper Payment Scenario subpage. <\/p><\/div>\n<\/li><li class=\"wp-block-post post-332 post type-post status-publish format-standard hentry category-updates\">\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-b8a754df wp-block-group-is-layout-flex\">\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-c2345a03 wp-block-group-is-layout-flex\" style=\"margin-top:0;margin-bottom:0;padding-top:0;padding-right:0;padding-bottom:0;padding-left:0\"><div class=\"wp-block-post-date\"><time datetime=\"2026-01-30T15:13:45-05:00\">Jan 2026<\/time><\/div>\n\n<h2 style=\"padding-top:0;padding-bottom:0;margin-top:0;margin-bottom:0\" class=\"wp-block-post-title has-medium-font-size\"><a href=\"https:\/\/rac.aliviaanalytics.com\/alabama\/updates\/alabama-medicaid-rac-101\" target=\"_self\">Alabama Medicaid: RAC 101<\/a><\/h2><\/div>\n<\/div>\n\n\n<div style=\"font-style:normal;font-weight:400;margin-top:0;margin-bottom:0\" class=\"wp-block-post-excerpt\"><p class=\"wp-block-post-excerpt__excerpt\">Alabama Medicaid: RAC 101&nbsp;is an educational presentation designed to introduce healthcare providers to the fundamentals of the Alabama Medicaid Recovery Audit Contractor (RAC) program. Led by Alivia Analytics, the presentation explains the purpose of the RAC program, outlines how improper payment scenarios are developed and approved, and provides clarity on RAC review processes. The content walks providers through the distinctions between&nbsp;Complex&nbsp;and&nbsp;Automated&nbsp;RAC reviews, including timelines, documentation requirements, and steps to follow when&hellip; <\/p><\/div>\n<\/li><li class=\"wp-block-post post-331 post type-post status-publish format-standard hentry category-updates\">\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-b8a754df wp-block-group-is-layout-flex\">\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-c2345a03 wp-block-group-is-layout-flex\" style=\"margin-top:0;margin-bottom:0;padding-top:0;padding-right:0;padding-bottom:0;padding-left:0\"><div class=\"wp-block-post-date\"><time datetime=\"2026-01-30T15:08:00-05:00\">Jan 2026<\/time><\/div>\n\n<h2 style=\"padding-top:0;padding-bottom:0;margin-top:0;margin-bottom:0\" class=\"wp-block-post-title has-medium-font-size\"><a href=\"https:\/\/rac.aliviaanalytics.com\/alabama\/updates\/recovery-audit-contractor-rac-agreement-announced\" target=\"_self\">Recovery Audit Contractor (RAC) Agreement Announced<\/a><\/h2><\/div>\n<\/div>\n\n\n<div style=\"font-style:normal;font-weight:400;margin-top:0;margin-bottom:0\" class=\"wp-block-post-excerpt\"><p class=\"wp-block-post-excerpt__excerpt\">On October 1, 2024, Alabama Medicaid entered into a contract with Alivia Analytics, LLC (Alivia) to perform Recovery Audit Contractor (RAC) activities for Medicaid services paid to Alabama Medicaid providers.\u00a0 Alabama Medicaid anticipates Alivia will begin reviews in the Spring 2026. <\/p><\/div>\n<\/li><\/ul><\/div>\n","protected":false},"excerpt":{"rendered":"<p>The Affordable Care Act requires the Alabama Medicaid Agency to select and provide oversight for a Medicaid Recovery Audit Contractor (RAC) to perform provider audits. The RAC program is focused on improving payment accuracy by identifying underpayments and overpayments in Medicaid.&nbsp; This program is separate and apart from the Medicare RAC which is overseen by [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":12,"comment_status":"closed","ping_status":"closed","template":"page.php","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-11","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/rac.aliviaanalytics.com\/alabama\/wp-json\/wp\/v2\/pages\/11","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rac.aliviaanalytics.com\/alabama\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/rac.aliviaanalytics.com\/alabama\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/rac.aliviaanalytics.com\/alabama\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/rac.aliviaanalytics.com\/alabama\/wp-json\/wp\/v2\/comments?post=11"}],"version-history":[{"count":0,"href":"https:\/\/rac.aliviaanalytics.com\/alabama\/wp-json\/wp\/v2\/pages\/11\/revisions"}],"wp:attachment":[{"href":"https:\/\/rac.aliviaanalytics.com\/alabama\/wp-json\/wp\/v2\/media?parent=11"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}