The MAC’s have the discretion to define locality in their service areas. Effectively, there is no change as Carriers and Intermediaries (now MACs) have always had discretion to determine the “locality” around each facility.
Full Answer
How do I find out who my Medicare carrier is?
Mar 30, 2017 · A/B MAC Jurisdiction F - Part A and Part B Facts. JF processes FFS Medicare Part A and Part B claims for Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, and Wyoming. Total Number of Fee-for-Service Beneficiaries: 3,175,119 (as of 9/30/2021) Total Number of Physicians: 86,983 (as of 9/30/2021) Total Number of Medicare …
Does my ZIP code affect my Medicare coverage?
Medicare Administrative Contractor Locality Number State Fee Schedule Area Counties . 01112 58 CALIFORNIA MADERA MADERA 01112 59 CALIFORNIA MERCED MERCED 01112 60 CALIFORNIA MODESTO STANISLAUS 01112 61 CALIFORNIA REDDING SHASTA 01112 62 CALIFORNIA RIVERSIDE-SAN BERNARDINO-ONTARIO SAN BERNARDINO, RIVERSIDE 01112 63 …
What is a Mac jurisdiction?
Jun 22, 2017 · Posted in Government Affairs, Member-Only. “Locality” Rule – MAC Discretion – Since the inception of the CMS Internet Only Manual (in 2003), the Benefit Policy Manual 100-02, Chapter 10, section 10.3.5 has always defined “Locality” as: The term “Locality” with respect to ambulance service means the service area surrounding the institution to which individuals …
What are the regions of Medicare?
Jan 06, 2022 · MAC websites, secure internet portals, & electronic mailing lists by state ... A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 7500 Security Boulevard, Baltimore, MD 21244. CMS & HHS Websites [CMS Global Footer] Medicare.gov; Medicaid.gov;
Current Maps and Lists
To find out who the current A/B and DME MACs are, use these maps and lists to help you determine which MAC is of most interest to you.
DME MACs
The DME MACs process Medicare Durable Medical Equipment, Orthotics, and Prosthetics (DMEPOS) claims for a defined geographic area or "jurisdiction," servicing suppliers of DMEPOS. Learn more about the DME MAC in each jurisdiction.