What is a MAC in Medicare?
MACs are multi-state, regional contractors responsible for administering both Medicare Part A and Medicare Part B claims. MACs perform many activities including: Section 911 of the Medicare Prescription Drug Improvement, and Modernization Act (MMA) of 2003 directed CMS to replace the Part A Fiscal Intermediaries (FIs) and Part B carriers with MACs.
What states are covered by DME Mac?
DME MAC Jurisdiction D - DME Facts JD processes FFS Medicare DME claims for Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Iowa, Kansas, Missouri, Montana, Nebraska, Nevada, North Dakota, Northern Mariana Islands, Oregon, South Dakota, Utah, Washington and Wyoming
What states are covered by Mac a and B?
MAC Jurisdiction Processes Part A & Part B Claims for the following states: MAC DME A Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont Noridian Healthcare Solutions, LLC
What states do Macs operate in 2019?
Medicare Administrative Contractors (MACs) As of June 2019 MAC Jurisdiction Processes Part A & Part B Claims for the following states: MAC DME A Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont Noridian Healthcare Solutions, LLC
What Mac jurisdiction is Arizona in?
Jurisdiction 3MAC Summary TableCurrent MAC JurisdictionsNew MAC JurisdictionsStatesJurisdiction 1 is now EECA, HI, NV, Pacific IslandsJurisdiction 2 is now FFAK, ID, OR, WAJurisdiction 3 is now FFAZ, MT, ND, SD, UT, WY12 more rows
What is my Medicare Mac?
A Medicare Administrative Contractor (MAC) is a private health care insurer that has been awarded a geographic jurisdiction to process Medicare Part A and Part B (A/B) medical claims or Durable Medical Equipment (DME) claims for Medicare Fee-For-Service (FFS) beneficiaries.
What jurisdiction in Medicare is Arizona in?
Jurisdiction 3A: The states included in Jurisdiction 3 are Arizona, Montana, North Dakota, South Dakota, Utah and Wyoming.
What states are in Medicare jurisdiction F?
A/B MAC Jurisdiction F (formerly known as Jurisdiction 2 and 3) – 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.
What are the different Medicare MACs?
A/B MACs and HH+H Areas A/B MACs process Medicare Part A and Medicare Part B claims for a defined geographic area or “jurisdiction,” servicing institutional providers, physicians, practitioners, and suppliers. Four of the A/B MACs also process HH+H claims in addition to their typical Medicare Part A and Part B claims.
What is the MAC locality?
However, the Medicare Administrative Contractors (MACs) have been allowed to process claims using what we refer to as the “locality rule”. The “locality rule” allows for when patients normally seek medical attention at a few regional hospitals on a regular basis.
What states are in Medicare Region C?
DME MAC Jurisdiction C – DME Facts JC processes FFS Medicare DME claims for Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, U.S. Virgin Islands, Virginia, and West Virginia.
What states are in Medicare Region A?
DME MAC Jurisdiction A - DME FactsJA processes FFS Medicare DME claims for Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont.Total Number of Fee-for-Service Beneficiaries: 7,649,029 (as of 9/30/2021)More items...•
What states are in Medicare Region B?
Jurisdiction B is serviced by CGS and includes Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio and Wisconsin.
Where is Medicare Jurisdiction A?
United StatesCenters for Medicare & Medicaid Services / Jurisdiction
What is noridian Mac?
Since CMS opened its doors in 1966, Noridian has been a trusted Medicare Administrative Contractor (MAC), evolving alongside the agency through the years. Today, Noridian has nationwide, multiyear contracts serviced by employees throughout the United States.
What are Medicare regions?
CMS Regional OfficesRegionRegional Office LocationContactRegion [email protected] 2New [email protected] [email protected] [email protected] more rows•Dec 1, 2021
What's a MAC and what do they do?
A Medicare Administrative Contractor (MAC) is a private health care insurer that has been awarded a geographic jurisdiction to process Medicare Part A and Part B (A/B) medical claims or Durable Medical Equipment (DME) claims for Medicare Fee-For-Service (FFS) beneficiaries.
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 DME MACs at Who are the MACs.
Relationships between MACs and Functional Contractors
MACs work with multiple functional contractors to administer the full FFS operational environment. Learn more about the relationships between the MACs and the functional contractors by viewing the diagram of MACs: The Hub of the Medicare FFS Program (PDF) and reading about what the functional contractors do at Functional Contractors Overview (PDF).
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.
DME MAC Jurisdiction D - DME Facts
JD processes FFS Medicare DME claims for Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Iowa, Kansas, Missouri, Montana, Nebraska, Nevada, North Dakota, Northern Mariana Islands, Oregon, South Dakota, Utah, Washington and Wyoming
Who were the former contractors in this jurisdiction?
Learn about the former contractors in this jurisdiction at Archives: DME MAC Jurisdiction D.
What is the Arizona Medicaid Advisory Committee?
Arizona State Medicaid Advisory Committee (SMAC) The State Medicaid Advisory Committee (SMAC) reviews and advises the Medicaid agency on the operations, programs, and planning for Arizona's Medicaid program.
What is SMAC in Medicaid?
The State Medicaid Advisory Committee (SMAC) meets quarterly, chaired by the AHCCCS Director. SMAC meetings are open to the public and include a public comment period at the end of the agenda. For the duration of the COVID-19 public health emergency, all SMAC meetings will be held via webinar/telephone.
