| MAC | States Covered |
|---|---|
| CGS Administrators, LLC | Jurisdiction 15: KY, OH |
| First Coast Service Options, Inc. | Jurisdiction 9: FL, Puerto Rico, U.S. Virgin Islands |
| National Government Services, Inc. | Jurisdiction 6: IL, MN, WI Jurisdiction K: CT, NY, MA, ME, NH, RI, VT |
What is a MAC in Medicare?
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 Jersey, New York, Pennsylvania, Rhode Island, Vermont Noridian Healthcare Solutions, LLC DME B Illinois, Indiana ...
How many Medicare claims do Macs process each year?
Dec 01, 2021 · 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. Please note that the four HH+H areas do not ...
How many Macs are in the Medicare FFS program?
Jan 12, 2022 · 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 …
What is a Mac and what does it 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. ... Illinois. Anne Gavic. Rita Szymanski (IL) Paul Spilde (MN)
What Medicare region is il?
Jurisdiction B is serviced by CGS and includes Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio and Wisconsin.Jun 29, 2016
What is the MAC for Illinois?
Medicaid Advisory CommitteeMedicaid Advisory Committee (MAC)
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.Jan 12, 2022
What states are in Medicare Jurisdiction 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.Dec 28, 2021
How many MACs are there Medicare?
12 MedicareHow Many Macs Exist? Currently, there are 12 Medicare Part A and B MACs that assist with Original Medicare (Medicare Parts A and B). Four of these MACs also process home health and hospice claims in addition to their typical Medicare Part A and Part B claims. There are also four durable medical equipment (DME) MACs.Sep 10, 2021
What are the different Medicare jurisdictions?
CMS has already accomplished consolidating three pairs of A/B MAC contract areas (six A/B MACs) into three jurisdictions: Jurisdiction F (formerly Jurisdictions 2 and 3); Jurisdiction H (formerly Jurisdictions 4 and 7); and Jurisdiction K (formerly Jurisdictions 13 and 14).
Who are MACs?
A Medicare Administrative Contractors or MAC for short is a private health insurer who has been granted certain geographical jurisdictions in the USA by CMS 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 is Medicare novitas?
Novitas proudly serves as the MAC in charge of providing service to Part A and Part B providers within the jurisdiction H and jurisdiction L. MACs provide support and claim-related information to other Medicare contractors, such as 1-800-MEDICARE.Jan 5, 2022
What jurisdiction is NGS?
* As National Government Services, Inc. (NGS) is the incumbent contractor for A/B MAC Jurisdiction K, CMS anticipates that implementation of the new contract will go smoothly, with few (if any) disruptions in service for Medicare beneficiaries and providers.Dec 28, 2021
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...•Dec 28, 2021
Who is the Mac for Wisconsin?
State NameMAC-Part BHawaiiNoridian Healthcare Solutions, LLC (01212, MAC B)IdahoNoridian Healthcare Solutions, LLC (02202, MAC B)IllinoisNational Government Services, Inc. (06102, MAC B)IndianaWisconsin Physicians Service Insurance Corporation (08102, MAC B)62 more rows
Who is the Mac for Missouri?
The Missouri Association of Counties (MAC), formed in 1972, is a nonprofit, nonpartisan member service organization dedicated to the improvement of county government.
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.
What is 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).
What is MAC in Medicare?
A Medicare Administrative Contractors or MAC for short is a private health insurer who has been granted certain geographical jurisdictions in the USA by CMS 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. Original MACs were known as Part A Fiscal ...
Where is Palmetto GBA located?
They currently have more than 1,500 associates in offices in Alabama, Georgia, and South Carolina.
