According to its Web site, the Centers for Medicare & Medicaid Services (CMS) plans to reduce the number of A/B Medicare Administrative Carriers (MACs) from 15 jurisdictions (currently designated numerically) to 10@blurbend, to be designated alphabetically. Of the current MAC jurisdictions, the geographic areas of 10 will be modified and five will remain unchanged.
Under this consolidation plan, MACs will be designated as follows:
Jurisdiction E (No changes): Includes California, Hawaii, Nevada and the Pacific Islands (currently Jurisdiction 1; current MAC: Palmetto Government Benefits Administrators).
Jurisdiction F: Includes Alaska, Idaho, Oregon and Washington (Jurisdiction 2; currently no MAC selected), as well as Arizona, Montana, North Dakota, South Dakota, Utah and Wyoming (Jurisdiction 3; current MAC: Noridian Administrative Services).
Jurisdiction G: Includes Iowa, Kansas, Missouri and Nebraska (Jurisdiction 5; current MAC: Wisconsin Physicians Services) and Illinois, Minnesota and Wisconsin (Jurisdiction 6; currently no MAC selected).
Jurisdiction H: Includes Colorado, New Mexico, Oklahoma and Texas (Jurisdiction 4; current MAC: TrailBlazer Health Enterprises) and Arkansas, Louisiana and Mississippi (Jurisdiction 7; currently no MAC selected).
Jurisdiction I: Includes Ohio and Kentucky (Jurisdiction 15; current MAC: CIGNA Government Services) and Indiana and Michigan (Jurisdiction 8; currently no MAC selected).
Jurisdiction J (No changes): Includes Alabama, Georgia and Tennessee (Jurisdiction 10; current MAC: Cahaba GBA).
Jurisdiction K: Includes Connecticut and New York (Jurisdiction 13; current MAC: National Government Services) and Maine, Massachusetts, New Hampshire, Rhode Island and Vermont (Jurisdiction 14; current MAC: National Heritage Insurance Corp.).
Jurisdiction L (No changes): Includes Delaware, Washington DC, Maryland, New Jersey and Pennsylvania (Jurisdiction 12; current MAC: Highmark Medicare Services, Inc.).
Jurisdiction M (No changes): Includes North Carolina, South Carolina, Virginia and West Virginia (Jurisdiction 11; current MAC: Palmetto GBA).
Jurisdiction N (No changes): Includes Florida, Puerto Rico and the U.S. Virgin Islands (Jurisdiction 9; current MAC: First Coast Service Options).
Jurisdictions not currently assigned to a MAC will remain with their current state (legacy) carrier until the next round of consolidations. Those whose boundaries are unchanged by this consolidation will have to re-compete as their current contracts run out. MAC contractors may change as a result.
We will continue to monitor this consolidation plan and keep you informed in upcoming issues of the Health Policy Brief. For more information, please e-mail rr&q@AUAnet.org.