April 16, 2014
Recovery Audit Program
The goal of the Recovery Audit program is to identify and reduce improper payments made on claims for services provided to Medicare beneficiaries. All providers, including home health and hospice providers, may be subject to claims review by a RAC.
Recovery Auditors (formerly known as Recovery Audit Contractors or RACs) are divided into four jurisdictions, and are separate from the contract that CGS has to processing Medicare claims. The four recovery auditor jurisdictions and their corresponding states are listed below.
| RAC | States |
|---|---|
| Region A: Performant Recovery | CT, DE, DC, ME, MD, MA, NH, NJ, NY, PA, RI, and VT |
| Region B: CGI Federal Inc | IL, IN, KY, MI, MN, OH, and WI |
| Region C: Connolly, Inc. | AL, AR, CO, FL, GA, LA, MS, NM, NC, OK, SC, TN, TX, VA, WV, Puerto Rico, and US Virgin Islands |
| Region D: HealthDataInsights | AK, AZ, CA, HI, ID, IA, KS, MO, MT, ND, NE, NV, OR, SD, UT, WA, WY, Guam, American Samoa, and Northern Marianas |
For additional contact information, refer to the "Recovery Auditor Contact Information
" link on the CMS website. Each recovery auditor will publish the issues they are selecting. All issues for review by the recovery auditor are approved by CMS, and posted to the Recovery Auditors websites prior to the review being conducted.

