CMS to Fold ZPICs and MACs into New UPIC Entities

The Centers for Medicare & Medicaid Services (CMS) reportedly is developing a new integrity contractor called a Unified Program Integrity Contractor (UPIC). 

These contractors will focus on both Medicare and Medicaid integrity issues, and the Zone Program Integrity Contractors (ZPICs) and the Medicare Administrative Contractors (MACs) will be folded into the UPICs, according to an email sent last Friday by Dianne De La Mare, vice president of legal affairs for the American Health Care Association (AHCA). 

De La Mar was reporting on what she described in her email as a conference call held last Friday by CMS Program Integrity. She added that MACs would not be going away; however, their integrity responsibilities will be folded into those of the UPICs. 

Writing that the Medicaid Integrity Contractors (MICs), will be phased out, De La Mar also indicated that the recovery auditors will remain in place. Moreover, she concluded, CMS will be consolidating all of its Medicare and Medicaid data into one unified database.

Join Our Monitor Mondays Broadcast!

Register to Tune In Live