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OK SPA 26-0006 Recovery Audit Contractor (RAC) Waiver

This proposed State Plan Amendment renews Oklahoma’s Recovery Audit Contractor (RAC) waiver. Federal law at Section 1902(a)(42) of the Social Security Act requires states to operate a Medicaid RAC program; however, CMS permits states to request a waiver. OHCA maintains robust program integrity functions and does not contract with a RAC. This submission is administrative and renews the waiver for an additional two-year period.

Please view the draft SPA draft here: 26-0006 and submit feedback via the comment box.

Circulation Date: 4/6/2026

Tribal Consultation: 3/6/2026

Comment Due Date: 4/21/2026

Requested Effective Date: April 1, 2026, contingent upon CMS approval. 

Submit a Comment

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After you submit your comment, you should be re-directed to a confirmation page. If you are not, please submit your comment through e-mail to federal.authorities@okhca.org.

Please note that all comments must be reviewed and approved prior to posting. Approved comments will be posted Monday through Friday between the hours of 7:30 a.m. – 4 p.m. Any comments received after 4 p.m. will be posted on the following business day.


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Last Modified on Apr 06, 2026