American Urological Association - Current Medicare Administrative Contractor (MAC) Summary

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Home Practice Resources Coding and Reimbursement Coding Resources and Information Current Medicare Administrative Contractor (MAC) Summary

Current Medicare Administrative Contractor (MAC) Summary

MACs Re-consolidation Plans

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. 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).

CMS ultimately wants to consolidate the following ten A/B MAC workloads to five consolidated pairs as listed below. CMS had planned to integrate the present Jurisdictions 8 and 15 to form "Jurisdiction I" in 2015 – 2016 and to integrate the present Jurisdictions 5 and 6 to form "Jurisdiction G" in 2016 – 2017. After appropriate consideration of Medicare program trends, CMS has determined to postpone these final two remaining A/B MAC contract area consolidations for up to five years.

A/B Mac

JN

JJ

JM

J15

JF

J8

JH

J5

JE

J6

JL

JK

Estimated Release

Award 2/2014

Award 9/2014

4/15

7/14

5/15

9/15

11/15

4/16

9/16

9/16

10/16

11/16

MAC Summary Table

Current MAC
Jurisdictions

New
MAC
Jurisdictions

States

Contractor

Implementation/ Consolidation

MAC
Web Site

Jurisdiction 1 is now E

E

CA, HI, NV, Pacific Islands

Noridian Healthcare Solutions

Jurisdiction E Fully implemented.

JE

Jurisdiction 2 is now F

F

AK, ID, OR, WA

Noridian Healthcare Solutions

Consolidated with J3 and has been fully Implemented

JF

Jurisdiction 3 is now F

F

AZ, MT, ND, SD, UT, WY

Noridian Administrative Services

Consolidated with J2 and has been fully Implemented

JF

Jurisdiction 4 is now H

H

CO, NM, OK, TX

Novitas Solutions

Consolidation with J7 and has been fully Implemented

JH

Jurisdiction 5* G has not been awarded as of 8/2015 G IA, KS, MO, NE Wisconsin Physicians Services (WPS) Future consolidation of J5 is on hold

J5

Jurisdiction 6* G has not been awarded as of 8/2015

G

IL, MN, WI

National Government Services (NGS)

Future consolidation of J6 is on hold

J6

Jurisdiction 7 is now H

H

AR, LA, MS

Novitas Solutions

Consolidated with J4 to form JH and has been fully Implemented

JH

Jurisdiction 8* I has not been awarded as of 8/2015

I

IN, MI

Wisconsin Physicians Services (WPS)

Future consolidation with J15 has been put on hold

J8

Jurisdiction 9 is now N

N

FL, PR, US VI

First Coast Service Options (FCSO)

Fully implemented

JN

Jurisdiction 10 is now J

J

AL, GA, TN

Cahaba Government Benefits Administrators

Fully implemented

JJ

Jurisdiction 11 is now M

M

NC, SC, VA, WV

Palmetto Government Benefits Administrator (Palmetto GBA)

Implementation is now underway

Part A
Part B

Jurisdiction 12 is now L

L

DE, DC, MD, NJ, PA

Novitas Solutions

Fully implemented

JL

Jurisdiction 13 is now K

K

CT, NY

National Government Services (NGS)

Consolidation with J14 and fully implemented

JK

Jurisdiction 14 is now K

K

ME, MA, NH, RI, VT

National Government Services (NGS)

Consolidation with J13 and fully implemented

JK

Jurisdiction 15* I has not been awarded as of 8/2015

I

KY, OH

CGS Administrators LLC

Future consolidation with J8 has been put on hold

J15

Transition to current MAC fully implemented, implemented but recomplete or implementation is in progress. No MACs have transitioned to the new MAC jurisdictions as described above.

Contract award is being protested or RFP has been withdrawn. The legacy carriers will continue to service the providers in these workloads until further notice.

*Subject to change.

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