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Questions, Comments and Suggestions Form

Please use this form if you:

  • Have feedback, complaints or suggestions regarding the RAC program
  • Have provider training or provider education requests or suggestions
  • Want to submit a test case for HCPF and HMS to review
  • Have areas of Medicaid you believe the RAC should focus on
  • Want to submit agenda items for the next stakeholder meeting
  • Want to submit agenda items for consideration of the RAC provider advisory board
  • Want to communicate anything related to the RAC program to HCPF
Webform
Contact Affiliation
You have the option to provide your organizational title.
Providers have the option to provide the name of their location or facility office.
Facilities or offices that are part of a larger hospital system have the option to provide the name of the hospital system.
Representatives of a provider association have the option to provide the name of their association.
Attorneys or representatives have the option to provide the name of their firm.
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