CMS RAC Regions 3, 4 and 5

CMS RAC

CMS Awards RAC Contracts to Cotiviti

On April 28, 2025, CMS awarded Cotiviti the Recovery Audit Contractor (RAC) contracts for Regions 3, 4, and 5.

See below for more information.

With the provider portal, you can:

  • Upload discussions and correspondence
  • Download, view and print RAC letters
  • Upload medical records
  • Check your claim review status 24/7
  • Update contact information
  • Export data

CONTRACT UPDATES

6/10/2025 - RAC Contract Award & Provider Portal Access Update

On April 28, 2025, the Centers for Medicare & Medicaid Services awarded Cotiviti GOV Services LLC the Recovery Audit Contractor contracts for Regions 3, 4, and 5.

Region Breakdown:

  • Region 3: A/B MAC jurisdictions JJ, JM, JN
    • AL, FL, GA, NC, SC, TN, VA, WV, Puerto Rico and U.S. Virgin Islands
  • Region 4: A/B MAC jurisdictions JE, JF, JL
    • AK, AZ, CA, DC, DE, HI, ID, MD, MT, ND, NJ, NV, OR, PA, SD, UT, WA, WY, Guam, American Samoa and Northern Marianas
  • Region 5: DME MACs JA, JB, JC, JD and HH+H MACs J6, J15, JK, JM
    • Nationwide for DMEPOS/HHA/Hospice

Portal Access Now Available:
Providers in Regions 3 and 4 can now log in to the Provider Portal.
If you're new to the portal, please refer to the Portal User Guide in the How-to Materials section.

Region 5 Providers:
Portal access is not yet available. Please check back soon for updates.

How-to materials

Use the Provider Portal

Logging in and navigation

Submit Documentation

Methods and formatting requirements

Submit a Discussion Request or Physician-to-Physician Review

Fillable Discussion Request Form
Please download and enter your request in Adobe Acrobat.

Update Your Contact Information - Multi-Provider

Address, fax, email, contact of record

Knowledge Base

Approved Review Topics

All CMS-approved reviews by type and state

RAC Frequently Asked Questions

Thorough answers to quick questions

Sample ADR

Additional documentation request from Cotiviti

Contact Us

Provider Relations

Region 3
(866) 360-2507
rac3info@cotiviti.com

Region 4
(833) 510-9689
rac4info@cotiviti.com

Region 5
(833) 510-9690
rac5info@cotiviti.com

Inquiries only, no medical documentation

Mailing Address

West of the Mississippi
Cotiviti - CMS RAC
10701 S River Front Pkwy
Suite 110
Box 12005
South Jordan, UT 84095

East of the Mississippi
Cotiviti - CMS RAC
731 Arbor Way
Suite 150
Box 12005
Blue Bell, PA 19422

Additional Information

CMS Manuals

CPI/CMS

Medicare Coverage Database

Recovery Audit Program Overview

Cotiviti.com Accessibility and Compliance with Section 508

Click to Download Adobe Acrobat Reader

 

For more information about the availability of auxiliary aids and services, please visit: https://www.medicare.gov/about-us/accessibility/accessibility-aids.html.