23 April 2022 7:43

How many Medicare MACs are there?

Currently there are 12 A/B MACs and 4 DME MACs in the program that process Medicare FFS claims for nearly 56% of the total Medicare beneficiary population, or 36 million Medicare FFS beneficiaries.

How many AB MACs are there?

12

How 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.

What is a B Mac?

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.

Who is the Mac for California Medicare?

Noridian Healthcare Solutions

Which regional MAC covers California? Noridian Healthcare Solutions is the Medicare Administrative Contractor for California and is responsible for processing all Medicare fee-for-service Part A and B claims.

What is Mac for Texas?

The Medicaid Administrative Claiming (MAC) program provides Texas School Districts, including public charter schools, the opportunity to obtain reimbursement for certain costs related to administrative activities that support the Medicaid program.

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.

What is the Medicare Part B annual deductible?

$233

The Medicare Part B deductible is $233. Once met, you pay 20 percent of the Medicare-approved amount for most doctor services, outpatient therapy and durable medical equipment.

What states does novitas Medicare cover?

(Novitas) has been awarded the Jurisdiction H (JH) contract by the Centers for Medicare & Medicaid Services (CMS). The contract covers Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma and Texas.

What states does novitas cover?

Contact Details

Organization Type: A/B MAC — A/B Medicare Administrative Contractor
Regions: Region Three – Philadelphia
Covered States and Territories: Arkansas, Colorado, Louisiana, Mississippi, Oklahoma, Texas, New Mexico
Address: 2020 Technology Parkway Suite 100 Mechanicsburg PA 17050

What jurisdiction is New York for Medicare?

National Government Services (NGS) administers Medicare health insurance for the Centers for Medicare & Medicaid Services (CMS) for Jurisdiction K which includes the State of New York.

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 Jurisdiction A DME MAC?

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.

What is the MAC for New York?

The Municipal Assistance Corporation for the City of New York (MAC) was established through State legislation on June 10, 1975, to address the New York City government’s severe fiscal crisis.

How many jurisdictions are there in Medicare?

Centers for Medicare and Medicaid Services (CMS) announced in 2010 plans to reduce the number of A/B Medicare Administrative Contractors (MACs) from the current numbered 15 jurisdictions to 10 alphabetical jurisdictions over the next several years. At this time, there are 12 A/B Mac contract areas.

What Medicare jurisdiction is Minnesota in?

Jurisdiction B

Jurisdiction B is serviced by CGS and includes Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio and Wisconsin.

What states are in Medicare jurisdiction K?

A/B MAC Jurisdiction K (formerly known as Jurisdiction 13 and 14) – Home Health and Hospice Facts. JK processes FFS Medicare HH+H claims for Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island and Vermont.

What is the MAC for Oklahoma?

Medical Advisory Committee

Purpose. The Medical Advisory Committee is established to advise the Oklahoma Health Care Authority about health and medical care services.

Who is the Mac for Oregon?

About Us. The Medicaid Advisory Committee (MAC) is a federally mandated body which advises the State Medicaid Director of the Oregon Health Authority (OHA), and the Department of Human Services (DHS) on the policies, procedures, and operation of Oregon’s Medicaid program, through a consumer and community lens.

What jurisdiction is Montana for Medicare?

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.