Review Contractor Directory - Interactive Map
Review Contractor Directory - Interactive Map
The Review Contractor Directory - Interactive Map allows you to access state-specific CMS contractor contact information. You may receive correspondence from one or several of these contractors in your state. They may request medical records from you, as they perform business on behalf of CMS. You can use this website to access their contact information including emails, phone numbers and websites.
Select a State:
Alabama
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction C CGS Administrators, LLC P.O. Box 20010 Nashville, TN 37202 ngs.cedihelpdesk@wellpoint.com http://cgsmedicare.com/jc/index.html 866-270-4909 (customer service) 866-238-9650 (IVR - interactive voice response) 888-204-3771 (hearing impaired) Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Part A PCC Part B PCC |
Alaska
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D Noridian Healthcare Solutions, LLC P.O Box 6727 Fargo ND, 58108 dme@noridian.com http://www.noridianmedicare.com 877-320-0390 Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MACS) Jurisdiction F Noridian Healthcare Solutions, LLC PO Box 6722 Fargo, ND 58108-6722 877-908-8431 Accepts esMD transactions |
American Samoa
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D Noridian Healthcare Solutions, LLC P.O. Box 6727 Fargo ND, 58108 dme@noridian.com Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Noridian Healthcare Solutions, LLC: |
Arizona
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D NAS (Noridian Healthcare Solutions,LLC) P.O Box 6727 Fargo ND, 58108 dme@noridian.com Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Jurisdiction F NAS (Noridian Healthcare Solutions,LLC) PO Box 6722 Fargo, ND 58108-6722 877-908-8431 Accepts esMD transactions |
Arkansas
| Type | Contractor |
|---|---|
| AB Medicare Administrative Contractor (MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Home Health and Hospice (HH+H) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Railroad Retirement Board (RRB) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List
|
| Recovery Audit Contractors (RACs) | Region 2 Medicare RAC Region 5 National DME/HHH |
| Unified Program Integrity Contractors (UPIC) | UPIC Southwestern Jurisdiction Corporate Office: UPIC South-Western Headquarters |
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction C CGS Administrators, LLC P.O. Box 20010 Nashville, TN 37202 Ngs.cedihelpdesk@wellpoint.com http://cgsmedicare.com/jc/index.hteml 866-270-4909 (customer service) 866-238-9650 (IVR - interactive voice response) 888-204-3771 (hearing impaired) Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Medical Review Jurisdiction H Novitas Camp Hill https://www.novitas-solutions.com 855-252-8782 Accepts esMD transactions |
California
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D Noridian Healthcare Solutions,LLC P.O. Box 6727 Fargo ND, 58108 dme@noridian.com Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Jurisdiction E Noridian Healthcare Solutions,LLC: P.O.Box 1091 Augusta, GA 30903-1091 http://www.palmettogba.com/ IVR: 866-931-3901 Provider Contact Center: 866-931-3901 Accepts esMD transactions |
Colorado
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction C CGS Administrators, LLC P.O. Box 20010 Nashville, TN 37202 Ngs.cedihelpdesk@wellpoint.com http://cgsmedicare.com/jc/index.html 866-270-4909 (customer service) 866-238-9650 (IVR - interactive voice response) 888-204-3771 (hearing impaired) Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Part A and Part B Medicare Administrative Contractor (A/B MAC) |
Connecticut
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Jurisdiction A DME NHIC, Corp. DME- Written Inquiries P.O. Box 9146 Hingham, MA 02043-9146 http://www.medicarenhic.com/dme 866-419-9458 Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Jurisdiction 13 National Government Services, Inc. P.O. Box 7108 Indianapolis, IN 46207-7108 http://www.ngsmedicare.com 888-855-4356 TTY: 866-786-7155 Accepts esMD transactions |
Delaware
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Jurisdiction A DME NHIC, Corp. DME- Written Inquiries P.O. Box 9146 Hingham, MA 02043-9146 http://www.medicarenhic.com/dme/ 866-419-9458 Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Part A and Part B Medicare Administrative Contractor (A/B MAC) |
District of Columbia
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Jurisdiction A DME NHIC, Corp. DME- Written Inquiries P.O. Box 9146 Hingham, MA 02043-9146 http://www.medicarenhic.com/dme/ 866-419-9458 Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Part A and Part B Medicare Administrative Contractor (A/B MAC) |
Florida
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction C
|
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MACS) Jurisdiction N First Coast Services Options Inc, (FCSO): 532 Riverside Avenue Jacksonville, FL 32202-4914 http://medicare.fcso.com 866-454-9007 Accepts esMD transactions |
Georgia
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction C
|
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MACS) Part A PCC Part B PCC |
Guam
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D Noridian Healthcare Solutions, LLC P.O. Box 6727 Fargo ND, 58108 dme@noridian.com Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Jurisdiction E Noridian Healthcare Solutions, LLC: AG-905 17 Technology Circle Columbia, SC 29203 http://www.palmettogba.com 803-735-1034 Accepts esMD transactions |
Hawaii
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D Noridian Healthcare Solutions, LLC P.O. Box 6727 Fargo ND, 58108 dme@noridian.com Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Jurisdiction E Noridian Healthcare Solutions, LLC: AG-905 17 Technology Circle Columbia, SC 29203 http://www.palmettogba.com 803-735-1034 Accepts esMD transactions |
Idaho
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D Noridian Healthcare Solutions, LLC P.O. Box 6727 Fargo ND, 58108 dme@noridian.com Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Jurisdiction F Noridian Healthcare Solutions, LLC P.O. Box 6722 Fargo, ND 58108-6722 877-908-8431 Accepts esMD transactions |
Illinois
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Jurisdiction B DME MAC NGS (National Government Services) P.O. Box 7191 Indianapolis, In 46207-7191 clinical.education@wellpoint.com http://www.ngsmedicare.com 877-702-0990 TTY: 888-897-7523 Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Jurisdiction 6 NGS |
Iowa
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D Noridian Healthcare Solutions, LLC P.O. Box 6727 Fargo ND, 58108 dme@noridian.com Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MACS) Part A and Part B Medicare Administrative Contractor (A/B MAC) Service Health Insurance Corporation (WPS) |
Kansas
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D NAS (Noridian Administrative Services LLC) P.O. Box 6727 Fargo ND, 58108 dme@noridian.com Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MACS) Jurisdiction 5: Wisconsin Physicians WPS Medicare Part A Medical Review P.O. Box 8310 Omaha, NE 68108-0310 Accepts esMD transactions Service Health Insurance Corporation (WPS) http://www.wpsgha.com 866-734-9444 Accepts esMD transactions Part A and Part B Medicare Administrative Contractors (A/B MACS) Jurisdiction 15 Home Health and Hospice Services CGS Administrators, LLC 1 Cameron Hill Circle STE 0061 Chattanooga, TN 37402-0061 http://cgsmedicare.com 866-270-4909 Accepts esMD transactions |
Kentucky
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Jurisdiction B DME MAC NGS (National Government Services) P.O. Box 7191 Indianapolis, In 46207-7191 clinical.education@wellpoint.com http://www.ngsmedicare.com 877-702-0990 TTY: 888-897-7523 Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MACS) Jurisdiction 15 Home, Health and Hospital Services CGS Administrators, LLC 1 Cameron Hill Circle STE 0061 Chattanooga, TN 37402-0061 http://cgsmedicare.com 866-270-4909 Accepts esMD transactions |
Louisiana
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction C CGS Administrators, LLC P.O. Box 20010 Nashville, TN 37202 Ngs.cedihelpdesk@wellpoint.com http://cgsmedicare.com/jc/index.htsml 866-270-4909 (customer service) 866-238-9650 (IVR - interactive voice response) 888-204-3771 (hearing impaired) Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Medical Review Jurisdiction H Novitas Camp Hill https://www.novitas-solutions.com 855-252-8782 Accepts esMD transactions |
Maine
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review: Jurisdiction A DME MAC: National Heritage Insurance Company DME- Written Inquiries P.O. Box 9146 Hingham, MA 02043-9146 http://www.medicarenhic.com/dme/ 866-419-9458 Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MACS) Jurisdiction 14 National Heritage Insurance Company (NHIC) P.O. Box 1000 Hingham, MA 02044 http://www.medicarenhic.com 888-248-6950 Accepts esMD transactions |
Maryland
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review: Jurisdiction A DME NHIC, Corp DME - Written Inquiries P.O. Box 9146 Hingham, MA 02043-9146 http://www.medicarenhic.com/dme/ 866-419-9458 Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Part A and Part B Medicare Administrative Contractor (A/B MAC) |
Massachusetts
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review: Jurisdiction A DME MAC: National Heritage Insurance Company DME- Written Inquiries P.O. Box 9146 Hingham, MA 02043-9146 http://www.medicarenhic.com/dme/ 866-419-9458 Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MACS) Jurisdiction 14 National Heritage Insurance Company (NHIC) P.O. Box 1000 Hingham, MA 02044 http://www.medicarenhic.com 888-248-6950 Accepts esMD transactions |
Michigan
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review: Jurisdiction B DME MAC NGS (National Government Services} P.O. Box 7191 Indianapolis, In 46207-7191 clinical.education@wellpoint.com http://www.ngsmedicare.com 877-702-0990 TTY: 888-897-7523 Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | This state has not yet transitioned to a MAC. |
Minnesota
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Jurisdiction B DME MAC NGS (National Government Services: P.O. Box 7191 Indianapolis, In 46207-7191 clinical.education@wellpoint.com http://www.ngsmedicare.com 877-702-0990 TTY: 888-897-7523 Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC)
|
Mississippi
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction C CGS Administrators, LLC P.O. Box 20010 Nashville, TN 37202 Ngs.cedihelpdesk@wellpoint.com http://cgsmedicare.com/jc/index.htsml 866-270-4909 (customer service) 866-238-9650 (IVR - interactive voice response) 888-204-3771 (hearing impaired) Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Medical Review Jurisdiction H Novitas Camp Hill https://www.novitas-solutions.com 855-252-8782 Accepts esMD transactions |
Missouri
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D Noridian Healthcare Solutions, LLC P.O. Box 6727 Fargo ND, 58108 dme@noridian.com Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Jurisdiction 5: Wisconsin Physicians WPS Medicare Part A Medical Review P.O. Box 8310 Omaha, NE 68108-0310 Service Health Insurance Corporation (WPS) http://www.wpsgha.com 866-734-9444 Accepts esMD transactions |
Montana
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D NAS Noridian Healthcare Solutions, LLC P.O. Box 6727 Fargo ND, 58108 dme@noridian.com Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Part A and Part B Medicare Administrative Contractors (A/B MACS) |
Nebraska
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D Noridian Healthcare Solutions, LLC P.O. Box 6727 Fargo ND, 58108 dme@noridian.com Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Part A and Part B Medicare Administrative Contractors (A/B MACS) |
Nevada
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D Noridian Healthcare Solutions, LLC P.O. Box 6727 Fargo ND, 58108 dme@noridian.com Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Jurisdiction E Noridian Healthcare Solutions, LLC P.O. Box 1091 Augusta, GA 30903-1091 http://www.palmettogba.com IVR: 866-931-3901 Provider Contact Center: 866-931-3901 Accepts esMD transactions |
New Hampshire
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Jurisdiction A DME NHIC, Corp. DME- Written Inquiries P.O. Box 9146 Hingham, MA 02043-9146 http://www.medicarenhic.com/dme/ 866-419-9458 Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MACS) Jurisdiction 14 NHIC, Corp. P.O. Box 1000 Hingham, MA 02044 http://www.medicarenhic.com 888-248-6950 Accepts esMD transactions |
New Jersey
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Jurisdiction A DME NHIC, Corp. DME- Written Inquiries P.O. Box 9146 Hingham, MA 02043-9146 http://www.medicarenhic.com/dme/ 866-419-9458 Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Jurisdiction L Novitas Solutions, Inc. Attn: (Dept/Function Name or Specific Person) PO Box 3385 Mechanicsburg PA 17055-1840 http://www.novitas-solutions.com 877-235-8073 Accepts esMD transactions |
New Mexico
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction C
|
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MACS) Jurisdiction H: Novitas Camp Hill http://www.novitas-solutions.com 855-252-8782 Accepts esMD transactions |
New York
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Jurisdiction A DME NHIC, Corp. DME- Written Inquiries P.O. Box 9146 Hingham, MA 02043-9146 http://www.medicarenhic.com/dme/ 866-419-9458 Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Jurisdiction 13 National Government Services, Inc. P.O. Box 7108 Indianapolis, IN 46207-7108 http://www.ngsmedicare.com/ 888-855-4356 TTY: 866-786-7155 Accepts esMD transactions |
North Carolina
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction C
|
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Jurisdiction 11 Palmetto GBA AG-620 P.O. Box 100238 Columbia, SC 29202-3238 http://www.palmettogba.com 866-830-3455 Faxgate Correspondence: 1-803-462-2215 Accepts esMD transactions |
North Dakota
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D Noridian Healthcare Solutions, LLC P.O. Box 6727 Fargo ND, 58108 dme@noridian.com Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Part A and Part B Medicare Administrative Contractors (A/B MACS) |
Northern Mariana Islands
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D Noridian Healthcare Solutions, LLC) P.O. Box 6727 Fargo ND, 58108 dme@noridian.com Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Jurisdiction 1 Palmetto GBA: AG-905 17 Technology Circle Columbia, SC 29203 http://www.palmettogba.com 803-735-1034 Accepts esMD transactions |
Ohio
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review: Jurisdiction B DME MAC NGS National Government Services: P.O. Box 7191 Indianapolis, In 46207-7191 clinical.education@wellpoint.com http://www.ngsmedicare.com 877-702-0990 TTY: 888-897-7523 Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MACS) Jurisdiction 15 Home Health and Hospice Services CGS Administrators, LLC 1 Cameron Hill Cir STE 0061 Chattanooga, TN 37402-0061 http://cgsmedicare.com 866-270-4909 |
Oklahoma
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction C
|
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MACS) Jurisdiction H: Novitas Camp Hill http://www.novitas-solutions.com 855-252-8782 Accepts esMD transactions |
Oregon
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D NAS (Noridian Administrative Services LLC) P.O Box 6727 Fargo ND, 58108 dme@noridian.com Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MACS) Jurisdiction F NAS (Noridian Administrative Services LLC) PO Box 6722 Fargo, ND 58108-6722 877-908-8431 Accepts esMD transactions |
Pennsylvania
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review: Jurisdiction A DME MAC: National Heritage Insurance Company DME- Written Inquiries P.O. Box 9146 Hingham, MA 02043-9146 www.medicarenhic.com/dme/ 866-419-9458 Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MAC) Part A and Part B Medicare Administrative Contractors (A/B MACS) |
Puerto Rico
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction C CGS Administrators, LLC P.O. Box 20010 Nashville, TN 37202 Ngs.cedihelpdesk@wellpoint.com http://cgsmedicare.com/jc/index.html 866-270-4909 (customer service) 866-238-9650 (IVR - interactive voice response) 888-204-3771 (hearing impaired) |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MACS) Jurisdiction N First Coast Services Options Inc, (FCSO): 532 Riverside Avenue Jacksonville, FL 32202-4914 http://medicare.fcso.com 866-454-9007 (Provider Contact Center) Accepts esMD transactions |
Rhode Island
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review: Jurisdiction A DME MAC: National Heritage Insurance Company DME- Written Inquiries P.O. Box 9146 Hingham, MA 02043-9146 http://www.medicarenhic.com/dme/ 866-419-9458 Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MACS) Part A and Part B Medicare Administrative Contractors (A/B MACS) |
South Carolina
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction C
|
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MACS) Jurisdiction 11 Palmetto GBA AG-620 P.O. Box 100238 Columbia, SC 29202-3238 http://www.palmettogba.com 866-830-3455 Faxgate Correspondence: 803-462-2215 Accepts esMD transactions |
South Dakota
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D Noridan Healthcare Solutions, LLC P.O. Box 6727 Fargo ND, 58108 dme@noridian.com Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MAC) Part A and Part B Medicare Administrative Contractors (A/B MAC) |
Tennessee
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction C
|
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MAC) Part A PCC Part B PCC |
Texas
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction C
|
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MAC) Jurisdiction H: Novitas Camp Hill http://www.novitas-solutions.com 855-252-8782 Accepts esMD transactions |
Utah
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D NAS (Noridian Administrative Services LLC) P.O. Box 6727 Fargo ND, 58108 dme@noridian.com Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MAC) Part A and Part B Medicare Administrative Contractors (A/B MAC) |
Vermont
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review: Jurisdiction A DME MAC: NHIC, Corp. DME- Written Inquiries P.O. Box 9146 Hingham, MA 02043-9146 http://www.medicarenhic.com/dme/ 866-419-9458 Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MAC) Jurisdiction 14 NHIC, Corp. P.O. Box 1000 Hingham, MA 02044 http://www.medicarenhic.com/ 888-248-6950 Accepts esMD transactions |
US Virgin Islands
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction C
|
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MAC) Jurisdiction N First Coast Services Options Inc, (FCSO): 532 Riverside Avenue Jacksonville, FL 32202-4914 http://medicare.fcso.com/ 866-454-9007 (Provider Contact Center) |
Virginia
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction C
|
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MAC) Part A and Part B Medicare Administrative Contractors (A/B MAC) |
Washington
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D Noridian Healthcare Solutions, LLC P.O. Box 6727 Fargo ND, 58108 dme@noridian.com Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MACS) Jurisdiction F Noridian Healthcare Solutions, LLC P.O. Box 6722 Fargo, ND 58108-6722 877-908-8431 Accepts esMD transactions |
West Virginia
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction C
|
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MAC) Part A and Part B Medicare Administrative Contractors (A/B MAC) |
Wisconsin
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review: Jurisdiction B DME MAC: NGS (National Government Services) P.O. Box 7191 Indianapolis, In 46207-7191 clinical.education@wellpoint.com http://www.ngsmedicare.com 877-702-0990 TTY: 888-897-7523 Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Jurisdiction 15 Home Health and Hospice Services |
Wyoming
| Type | Contractor |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D Noridian Healthcare Solutions, LLC P.O. Box 6727 Fargo ND, 58108 dme@noridian.com Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MAC) Part A and Part B Medicare Administrative Contractors (A/B MAC) |
Indiana
CMS Divisions Responsible for Contractors
Supplemental Medical Review Contractor (SMRC)
All of the United States of America
Noridian Healthcare Solutions, LLC
900 42nd St S
PO Box 6711
Fargo, ND 58103
833-860-4133
https://www.noridiansmrc.com/
Accepts esMD transactions
Plan Program Integrity MEDIC (PPI MEDIC)
All 50 States
PPI MEDIC
Corporate Headquarters:
Qlarant
28464 Marlboro Avenue
Easton, MD 21601
410-770-8583
Report Fraud, Waste or Abuse: 1-877-7SAFE-RX
www.qlarant.com
Corporate Headquarters:
Qlarant
28464 Marlboro Avenue
Easton, MD 21601
410-770-8583
Report Fraud, Waste or Abuse: 1-877-7SAFE-RX
www.qlarant.com
Investigations MEDIC (I-MEDIC)
All 50 States
Qlarant
28464 Marlboro Avenue
Easton, MD 21601
410-770-8583
Report Fraud, Waste or Abuse: 1-877-7SAFE-RX
www.qlarant.com
28464 Marlboro Avenue
Easton, MD 21601
410-770-8583
Report Fraud, Waste or Abuse: 1-877-7SAFE-RX
www.qlarant.com
Division of Prescription Drug Audits (DPDA)
All 50 States
The Division of Prescription Drug Audits (DPDA) serves as the focal point for Fraud, Waste, and Abuse oversight of Medicare Advantage and Prescription Drug Plans. DPDA also performs oversight of the PPI MEDIC and the Part D RAC.
State Point of Contact
Comprehensive Error Rate Testing (CERT)
Comprehensive Error Rate Testing (CERT)
All 50 States
E-Mail: cert@cms.hhs.gov
Website: /cert
CERT Review Contractor (RC) - NCI Information Systems, Inc.
CERT Statistical Contractor (SC) - The Lewin Group, Inc.
Accepts esMD transactions
State Point of Contact
Payment Error Rate Measurement (PERM)
Payment Error Rate Measurement (PERM)
All 50 States
E-Mail: permproviders@cms.hhs.gov
Website: /perm
PERM Statistical Contractor (SC) - The Lewin Group
PERM Review Contractor (RC) - A+ Government Solutions
Accepts esMD transactions
Division of Compliance, Projects and Demonstrations (DCPD)
All 50 States
To assure the integrity of Medicare Trust Fund dollars through program integrity and compliance efforts by actively seeking out suspected Medicare program vulnerabilities through a variety of methods, assessing scope and severity of risks, and working collaboratively within and outside CMS to develop, help implement, and monitor corrective actions.
All 50 States
The RACs detect and correct past improper payments so that CMS and Carriers, FIs, and MACs can implement actions that will prevent future improper payments:
- Providers can avoid submitting claims that do not comply with Medicare rules
- CMS can lower its error rate
- Taxpayers and future Medicare beneficiaries are protected
All 50 States
The collection of information and clinical review of medical records by Medicare Administrative Contractors to ensure that payment is made only for services that meet the Medicare coverage, coding and medical necessity requirements.
Plan Program Integrity MEDIC (PPI MEDIC)
All 50 States
PPI MEDIC
Corporate Headquarters:
Qlarant
28464 Marlboro Avenue
Easton, MD 21601
410-770-8583
Report Fraud, Waste or Abuse: 1-877-7SAFE-RX
www.qlarant.com
Corporate Headquarters:
Qlarant
28464 Marlboro Avenue
Easton, MD 21601
410-770-8583
Report Fraud, Waste or Abuse: 1-877-7SAFE-RX
www.qlarant.com
Investigations MEDIC (I-MEDIC)
All 50 States
Qlarant
28464 Marlboro Avenue
Easton, MD 21601
410-770-8583
Report Fraud, Waste or Abuse: 1-877-7SAFE-RX
www.qlarant.com
28464 Marlboro Avenue
Easton, MD 21601
410-770-8583
Report Fraud, Waste or Abuse: 1-877-7SAFE-RX
www.qlarant.com
Division of Prescription Drug Audits (DPDA)
All 50 States
The Division of Prescription Drug Audits (DPDA) serves as the focal point for Fraud, Waste, and Abuse oversight of Medicare Advantage and Prescription Drug Plans. DPDA also performs oversight of the PPI MEDIC and the Part D RAC.
Definition of Contractors
Comprehensive Error Rate Testing (CERT) program is to measure improper payments in the Medicare fee-for-service (FFS) program. The CERT program cannot be considered a measure of fraud. Since the CERT program uses random samples to select claims, reviewers are often unable to see provider billing patterns that indicate potential fraud when making payment determinations. CERT is designed to comply with the Improper Payments Elimination and Recovery Act of 2010.
Durable Medical Equipment - Medicare Administrative Contractor is a specialty MAC whose contract is awarded through competitive procedures and which provides for the processing of Medicare claims for durable medical equipment, prosthetics, orthotics, and supplies in keeping with 42 CFR 421.210.
Home Health and Hospice
Indian Health
Medicare Administrative Contractor is a contractor that performs Medicare fee-for-service claims administration services that is awarded a contract through competitive procedures in keeping with Section 1874A of the Social Security Act.
PART D RAC
The Part D Recovery Audit Contractor (RAC) is a contractor that performs data analysis on Prescription Drug Events (PDE) submitted by Part D plan sponsors in order to detect improper payments. The RAC is paid a contingency fee for amounts recovered.
The Payment Error Rate Measurement (PERM) program measures improper payments in Medicaid and CHIP and produces error rates for each program. The error rates are based on reviews of the fee-for-service (FFS), managed care, and eligibility components of Medicaid and CHIP in the fiscal year (FY) under review. It is important to note the error rate is not a "fraud rate" but simply a measurement of payments made that did not meet statutory, regulatory or administrative requirements.
Recovery Auditors, are tasked with identifying and recovering Medicare overpayments and identifying underpayments.
Regional Home Health and Hospice Intermediary
Railroad Retirement Board
The Supplemental Medical Review Contractor is a contractor that performs Medicare medical review activities as directed by CMS. This is a contract that is awarded through competitive procedures in keeping with Section 1874A of the Social Security Act.
The Unified Program Integrity Contractors (UPICs) perform fraud, waste, and abuse detection, deterrence and prevention activities for Medicare and Medicaid claims processed in the United States. Specifically, the UPIC’s perform integrity related activities associated with Medicare Parts A, B, Durable Medical Equipment (DME), Home Health and Hospice (HH+H), Medicaid, and the Medicare-Medicaid data match program (Medi-Medi). The UPIC contracts operate in five (5) separate geographical jurisdictions in the United States and combine and integrate functions previously performed by the Zone Program Integrity Contractor (ZPIC), Program Safeguard Contractor (PSC) and Medicaid Integrity Contractor (MIC) contracts.
The Investigations Medicare Drug Integrity Contractor (I-MEDIC) is a contractor responsible for monitoring all fraud, waste or abuse initiatives in the Medicare Advantage (Part C) and Prescription Drug Plan (Part D) benefits (specific to provider, prescribers and pharmacies) in all 50 states, the District of Columbia, and U.S. Territories.
PPI MEDIC
The Plan Program Integrity (PPI) Medicare Drug Integrity Contractor (MEDIC) is a contractor responsible for the Medicare Advantage (Part C) and Prescription Drug Plan (Part D) proactive data analysis , audits, generation of risk assessment reports, and plan sponsor education and outreach in all 50 states, the District of Columbia, and U.S. Territories.
Page Last Modified:
11/27/2024 01:39 PM