CHA News Article

CHA Meets With New Medi-Cal RAC to Discuss Scope of Work

Last month the California Department of Health Care Services (DHCS) announced that Health Management Systems (HMS) was awarded the state’s Medi-Cal Recovery Audit Contract. On Friday, CHA met with DHCS and HMS to discuss the current scope of work. HMS will begin its first round of reviews by auditing the following provider types: transportation services, speech therapy, podiatry and optometry. DHCS and HMS advised that hospitals are not included in the initial scope of review. However, they anticipate the scope will be expanded by the end of 2014 to include hospitals. CHA will continue to communicate directly with HMS and advise hospitals as the scope of work changes.