What's New Archive

What's New Archive

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Contract Award for A/B MAC Jurisdiction 15

On November 30, 2023, the Centers for Medicare & Medicaid Services (CMS) announced CGS Administrators, LLC (CGS) has been awarded a new contract for the administration of Medicare Fee-for-Service claims for Part A and Part B. in Jurisdiction 15.  The Jurisdiction 15 A/B Medicare Administrator (MAC) serves Medicare beneficiaries who reside in the states of Kentucky and Ohio. This contract will also administer Medicare home health and hospice (HH+H) FFS claims in the states of Colorado, Delaware, Iowa, Kansas, Maryland, Missouri, Montana, Nebraska, North Dakota, Pennsylvania, South Dakota, Utah, Virginia, West Virginia, Wyoming and the District of Columbia. As CGS is the incumbent contractor for this jurisdiction, CMS anticipates that implementation of the new contract will go smoothly, with few, if any, service issues for Medicare beneficiaries and providers. Learn more about this at A/B MAC Jurisdiction 15 Award Fact Sheet (PDF).

Contract Award for DME MAC Jurisdiction B

On March 28, 2023, the Centers for Medicare & Medicaid Services (CMS) announced that CGS Administrators, LLC (CGS) has been awarded a new contract for the administration of Medicare Fee-for-Service claims for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) in Jurisdiction B.  The Jurisdiction B DME MAC serves Medicare beneficiaries who reside in the states of Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio and Wisconsin.  As CGS is the incumbent contractor for this DME MAC jurisdiction, CMS anticipates that implementation of the new contract will go smoothly, with few, if any, service issues for Medicare beneficiaries and suppliers. Learn more about this at DME MAC Jurisdiction B Award Fact Sheet (PDF).

Contract Award for A/B MAC Jurisdiction M

On September 23, 2022, the Centers for Medicare & Medicaid Services (CMS) awarded Palmetto GBA, LLC a new contract for the administration of Medicare Part A and Part B Fee-for-Service (FFS) claims in the states of North Carolina, South Carolina, Virginia, and West Virginia (also known as A/B MAC Jurisdiction M). For Part B services, A/B MAC Jurisdiction M excludes the counties of Arlington and Fairfax in Virginia along with the city of Alexandria in Virginia (serviced by another MAC jurisdiction, Jurisdiction L). In addition to the A/B MAC services, JM also processes FFS Medicare Home Health & Hospice (HH+H) claims for the states of Alabama, Arkansas, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Mississippi, New Mexico, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee and Texas. As Palmetto GBA is the incumbent contractor for this A/B MAC jurisdiction, CMS anticipates that implementation of the new contract will go smoothly, with few (if any) disruptions in service for Medicare beneficiaries and providers. Learn more about this at A/B MAC Jurisdiction M Award Fact Sheet (PDF) (PDF).

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Contract Award for A/B MAC Jurisdiction N

On May 1, 2022, the Centers for Medicare & Medicaid Services (CMS) awarded First Coast Service Options, Inc. (FCSO) a new contract for the administration of Medicare Part A and Part B Fee-for-Service (FFS) claims in the states and territories of Florida, Puerto Rico, and U.S. Virgin Islands (also known as A/B MAC Jurisdiction N). As FCSO is the incumbent contractor for this A/B MAC jurisdiction, CMS anticipates that implementation of the new contract will go smoothly, with few (if any) disruptions in service for Medicare beneficiaries and providers. Learn more about this at A/B MAC Jurisdiction N Award Fact Sheet (PDF). 

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Contract Award for A/B MAC Jurisdiction K (posted 12/15/2021)

On December 15, 2021, the Centers for Medicare & Medicaid Services (CMS) awarded National Government Services, Inc. (NGS) a new contract for the administration of Medicare Part A and Part B Fee-for-Service (FFS) claims in the states of Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, and Vermont (also known as A/B MAC Jurisdiction K). This contract will also administer Medicare Home Health and Hospice (HH+H) FFS claims in the states of Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island and Vermont. As NGS is the incumbent contractor for this A/B MAC jurisdiction, CMS anticipates that implementation of the new contract will go smoothly, with few (if any) disruptions in service for Medicare beneficiaries and providers. Learn more about this at A/B MAC Jurisdiction K Award Fact Sheet (PDF). 

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Contract Award for A/B MAC Jurisdiction L (posted 7/27/2021)

On July 27, 2021 the Centers for Medicare & Medicaid Services (CMS) awarded Novitas Solutions, Inc. (Novitas) a new contract for the administration of Medicare Part A and Part B Fee-for-Service (FFS) claims in the states and territories of Delaware, District of Columbia, Maryland, New Jersey and Pennsylvania (also known as A/B MAC Jurisdiction L).  As Novitas is the incumbent contractor for this A/B MAC jurisdiction, CMS anticipates that implementation of the new contract will go smoothly, with few (if any) disruptions in service for Medicare beneficiaries and providers. Learn more about this at A/B MAC Jurisdiction L Award Fact Sheet (PDF). 

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Contract Award for A/B MAC Jurisdiction E (posted 12/18/2020)

Contract Award for A/B MAC Jurisdiction E (posted 12/18/2020) On December 18, 2020, the Centers for Medicare & Medicaid Services (CMS) awarded Noridian Healthcare Solutions, LLC (Noridian) a new contract for the administration of Medicare Part A and Part B Fee-for-Service (FFS) claims in the states and territories of American Samoa, California, Guam, Hawaii, Nevada and Northern Mariana Islands (Jurisdiction E). As Noridian is the incumbent contractor for this A/B MAC jurisdiction, CMS anticipates that implementation of the new contract will go smoothly, with few, if any, service issues for Medicare beneficiaries and providers. Learn more about this at A/B MAC Jurisdiction E Award Fact Sheet (PDF).

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Contract Award for DME MAC Jurisdiction C (posted 8/20/2020)

On August 20, 2020, the Centers for Medicare & Medicaid Services (CMS) announced that CGS Administrators, LLC (CGS) has been awarded a new contract for the administration of Medicare Fee-for-Service claims for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) in Jurisdiction C.  The Jurisdiction C DME MAC serves Medicare beneficiaries who reside in the states/territories of 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.  As CGS is the incumbent contractor for this DME MAC jurisdiction, CMS anticipates that implementation of the new contract will go smoothly, with few, if any, service issues for Medicare beneficiaries and suppliers. Learn more about this at DME MAC Jurisdiction C Award Fact Sheet (PDF).

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Contract Award for A/B MAC Jurisdiction 6 (posted 7/15/2020)

On July 15, 2020, the Centers for Medicare & Medicaid Services (CMS) awarded National Government Services, Inc. (NGS) a new contract for the administration of Medicare Part A and Part B Fee-for-Service (FFS) claims for Illinois, Minnesota, and Wisconsin (Jurisdiction 6). This contract will also administer Medicare Home Health and Hospice (HH+H) FFS claims for Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Michigan, Minnesota, Nevada, New Jersey, New York, Northern Mariana Islands, Oregon, Puerto Rico, US Virgin Islands, Wisconsin and Washington. As NGS is the incumbent contractor for this A/B MAC jurisdiction, CMS anticipates that implementation of the new contract will go smoothly, with few, if any, service issues for Medicare beneficiaries and providers. Learn more about this at A/B MAC Jurisdiction 6 Award Fact Sheet (PDF). 

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Contract Award for A/B MAC Jurisdiction 5 (posted 9/20/2019)

On September 20, 2019, the Centers for Medicare & Medicaid Services (CMS) awarded Wisconsin Physicians Service Government Health Administrators (WPS GHA) a new contract for the administration of Medicare Part A and Part B Fee-for-Service (FFS) claims in the states of Iowa, Kansas, Missouri, and Nebraska. As WPS GHA is the incumbent contractor for this A/B MAC jurisdiction, CMS anticipates that implementation of the new contract will go smoothly, with few, if any, service issues for Medicare beneficiaries and providers. Learn more about this at A/B MAC Jurisdiction 5 Award Fact Sheet (PDF).

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Contract Award for A/B MAC Jurisdiction H (posted 5/30/2019)

On May 30, 2019, the Centers for Medicare & Medicaid Services (CMS) awarded Novitas Solutions, Inc. a new contract for the administration of Medicare Part A and Part B Fee-for-Service (FFS) claims in the states of Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas. As Novitas is the incumbent contractor for this A/B MAC jurisdiction, CMS anticipates that implementation of the new contract will go smoothly, with few, if any, service issues for Medicare beneficiaries and providers. Learn more about this at A/B MAC Jurisdiction H Award Fact Sheet (PDF).

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Contract Award for A/B MAC Jurisdiction 8 (posted 11/1/2018)

On November 1, 2018, the Centers for Medicare & Medicaid Services (CMS) awarded Wisconsin Physicians Service Government Health Administrators (WPS) a new contract for the administration of Medicare Part A and Part B Fee-for-Service (FFS) claims in the states of Indiana and Michigan. As WPS is the incumbent contractor for this A/B MAC jurisdiction, CMS anticipates that implementation of the new contract will go smoothly, with few, if any, service issues for Medicare beneficiaries and providers. Learn more about this at A/B MAC Jurisdiction 8 Award Fact Sheet (PDF).

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Contract Award for A/B MAC Jurisdiction F (posted 7/12/2018)

On July 12, 2018, the Centers for Medicare & Medicaid Services (CMS) awarded Noridian Healthcare Solutions (Noridian) a new contract for the administration of Medicare Part A and Part B Fee-for-Service (FFS) claims in the states of Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, and Wyoming. As Noridian is the incumbent contractor for this A/B MAC jurisdiction, CMS anticipates that implementation of the new contract will go smoothly, with few, if any, service issues for Medicare beneficiaries and providers. Learn more about this at A/B MAC Jurisdiction F Award Fact Sheet (PDF).

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Contract Award for the DME Front End Common Electronic Data Interchange (posted 11/30/2017)

On November 20, 2017, the Centers for Medicare & Medicaid Services (CMS) awarded National Government Services (NGS) a new contract for the administration of the Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Front End Common Electronic Data Interchange (CEDI) contract for Jurisdictions A, B, C and D. CMS anticipates that implementation of the new contract will go smoothly, with few, if any, service issues for Medicare beneficiaries, suppliers and trading partners. Learn more about this at CEDI Award Fact Sheet (PDF).

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Contract Award for A/B MAC Jurisdiction J (posted 9/8/2017)

On September 7, 2017, the Centers for Medicare & Medicaid Services (CMS) awarded Palmetto GBA (Palmetto) a new contract for the administration of Medicare Part A and Part B Fee-for-Service (FFS) claims in the states of Alabama, Georgia, and Tennessee (A/B MAC Jurisdiction J). CMS will oversee the transfer of A/B MAC work from the incumbent contractor, Cahaba Government Benefit Administrators, LLC, to Palmetto over the next several months. CMS anticipates that implementation of the new contract will go smoothly, with few, if any, service issues for Medicare beneficiaries and providers. Learn more about this at A/B MAC Jurisdiction J Award Fact Sheet (PDF).

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Decision Regarding Future MAC Consolidations (posted 10/31/2016)

In 2010, CMS announced it would consolidate the original 15 A/B MAC jurisdictional contracts into 10 contracts. By 2014, as a result of jurisdictional consolidations, CMS had reduced the number of A/B MAC jurisdictions down to 12. At that time, CMS decided to postpone the final A/B MAC consolidations -- keeping the number of A/B MAC jurisdictions at 12 -- in order to evaluate the impact that further consolidations may have on the evolving business environment. That analysis led CMS to conclude that further jurisdictional consolidation is not in the best interest of the MAC program, as it could adversely impact competition in the MAC marketplace. As a result of this decision, Jurisdiction 5, Jurisdiction 6, Jurisdiction 8 and Jurisdiction 15 will not be consolidated.

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Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Jurisdiction A Implementation Complete (posted 7/8/2016)

The transition of Medicare administrative services for the Jurisdiction A DME MAC, from NHIC, Corp.to Noridian Healthcare Solutions, LLC (Noridian) was completed on July 1, 2016.  Jurisdiction A covers Fee-for-Service Medicare providers in the states of Connecticut, Delaware, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont, and the District of Columbia. Learn more about this MAC at Who Are the MACs: DME Jurisdiction A.

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DME MAC Jurisdiction B Implementation Complete (posted 7/8/2016)

The transition of Medicare administrative services for the Jurisdiction B DME MAC, from National Government Services (NGS) to CGS Administrators (CGS) was completed on July 1, 2016.  Jurisdiction B covers Medicare Fee-for-Service providers in the states of Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio, and Wisconsin. Learn more about this MAC at Who Are the MACs: DME Jurisdiction B.

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DME MAC Jurisdiction B Protest Resolution (posted 1/8/2016)

On December 30, 2015, the Government Accountability Office (GAO) denied the protest that was filed against the Jurisdiction B DME MAC contract award to CGS Administrators, LLC (CGS) on September 3, 2015. CMS is in the process of implementing the new contract and expects this process to be completed in July 2016.  While the new contract is being implemented, Medicare providers in Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio, and Wisconsin, will continue to file their Medicare claims with the incumbent DME MAC, National Government Services, Inc. (NGS). Learn more about the protest at GAO website.

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Contract Award for DME MAC Jurisdiction A (posted 12/18/2015)

On December 16, 2015, the Centers for Medicare & Medicaid Services (CMS) announced that Noridian Healthcare Solutions, LLC (Noridian), has been awarded a new contract for the administration of Medicare Fee-for-Service claims for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) in Jurisdiction A.  The Jurisdiction A DME MAC serves Medicare beneficiaries who reside in the states of Connecticut, Delaware, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont, and the District of Columbia.  CMS will oversee the transfer of DME MAC work from the incumbent contractor, NHIC, Corp. (NHIC), to Noridian over the next several months. CMS anticipates that implementation of the new contract will go smoothly, with few, if any, service issues for Medicare beneficiaries and suppliers. Learn more about DME MAC Jurisdiction A Award Fact Sheet (PDF).

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Protest of DME MAC Jurisdiction B Contract Award (posted 9/23/2015)

On September 21, 2015, the Centers for Medicare & Medicaid Services (CMS) was notified that a protest was filed against the Jurisdiction B DME MAC contract that was awarded to CGS Administrators, LLC (CGS), on September 3, 2015. In keeping with federal procurement law, CMS issued a stop work order for the Jurisdiction B contract to allow the Government Accountability Office (GAO) the opportunity to review the procurement record. During the GAO review period, which generally takes about three months, National Government Services (NGS) will continue to administer Medicare payments to suppliers of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) in Jurisdiction B (the states of Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio, and Wisconsin) under NGS' existing contract with CMS.

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Contract Award for A/B MAC Jurisdiction 15 (posted 9/18/2015)

On September 17, 2015, the Centers for Medicare & Medicaid Services (CMS) awarded CGS Administrators, LLC (CGS) a new contract for the administration of Medicare Part A and Part B Fee-for-Service (FFS) claims in the states of Kentucky and Ohio (A/B MAC Jurisdiction 15). This contract will also administer Medicare home health and hospice (HH+H) FFS claims in the states of Colorado, Delaware, Iowa, Kansas, Maryland, Missouri, Montana, Nebraska, North Dakota, Pennsylvania, South Dakota, Utah, Virginia, West Virginia, Wyoming and the District of Columbia. As CGS is the incumbent contractor for this A/B MAC jurisdiction, CMS anticipates that implementation of the new contract will go smoothly, with few, if any, service issues for Medicare beneficiaries and providers. Learn more about A/B MAC Jurisdiction 15 Award Fact Sheet (PDF).

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Contract Award for DME MAC Jurisdiction D (posted 9/10/2015)

On September 10, 2015, the Centers for Medicare & Medicaid Services (CMS) announced that Noridian Healthcare Solutions, LLC (Noridian), was awarded a new contract for the administration of Medicare Fee-for-Service (FFS) claims for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) in Jurisdiction D. The Jurisdiction D DME MAC serves Medicare beneficiaries who reside in the states and U.S. Territories of Alaska, Arizona, California, Hawaii, Idaho, Iowa, Kansas, Missouri, Montana, Nebraska, Nevada, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming, American Samoa, Guam, and Northern Mariana Islands. As Noridian is the incumbent contractor for this DME MAC jurisdiction, CMS anticipates that implementation of the new contract will go smoothly, with few, if any, service issues for Medicare beneficiaries and suppliers. Learn more about DME MAC Jurisdiction D Award Fact Sheet (PDF). 

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Contract Award for DME MAC Jurisdiction B (posted 9/4/2015)

On September 4, 2015, the Centers for Medicare & Medicaid Services (CMS) announced that CGS Administrators, LLC (CGS), has been awarded a new contract for the administration of Medicare Fee-for-Service (FFS) claims for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) in Jurisdiction B. The Jurisdiction B DME MAC serves Medicare beneficiaries who reside in the states of Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio, and Wisconsin.  CMS will oversee the transfer of DME MAC work from the incumbent contractor, National Government Services (NGS), to CGS over the next several months. CMS anticipates that implementation of the new contract will go smoothly, with few, if any, service issues for Medicare beneficiaries and suppliers. Learn more about DME MAC Jurisdiction B Award Fact Sheet (PDF). 

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Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Section 509 (posted 9/1/2015)

MACRA  changed two major issues affecting the MACs: the length of the MAC contracts and the transparency of MAC performance data.  Learn more about the MACRA provisions at MACRA Section 509.  

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Postponement of Final Two A/B MAC Contract Consolidations (posted 4/2/2014)

After due consideration of several current program trends, CMS has decided to postpone the final two A/B MAC contract consolidations for up to one additional MAC procurement cycle (5 years). Learn more about the postponement of the consolidations of A/B MAC Jurisdictions 5 and 6  A/B MAC Jurisdiction 8 and 15 at Who are the MACs.

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Page Last Modified:
09/10/2024 06:27 PM
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