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 |
New |
States |
Contractor |
Implementation/ Consolidation |
MAC |
|
Jurisdiction 1 is now E |
E |
CA, HI, NV, Pacific Islands |
Noridian Healthcare Solutions |
Jurisdiction E Fully implemented. |
|
|
Jurisdiction 2 is now F |
F |
AK, ID, OR, WA |
Noridian Healthcare Solutions |
Consolidated with J3 and has been fully Implemented |
|
|
Jurisdiction 3 is now F |
F |
AZ, MT, ND, SD, UT, WY |
Noridian Administrative Services |
Consolidated with J2 and has been fully Implemented |
|
|
Jurisdiction 4 is now H |
H |
CO, NM, OK, TX |
Novitas Solutions |
Consolidation with J7 and has been fully Implemented |
|
| 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 | |
|
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 |
|
|
Jurisdiction 7 is now H |
H |
AR, LA, MS |
Novitas Solutions |
Consolidated with J4 to form JH and has been fully Implemented |
|
|
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 |
|
|
Jurisdiction 9 is now N |
N |
FL, PR, US VI |
First Coast Service Options (FCSO) |
Fully implemented |
|
|
Jurisdiction 10 is now J |
J |
AL, GA, TN |
Cahaba Government Benefits Administrators |
Fully implemented |
|
|
Jurisdiction 11 is now M |
M |
NC, SC, VA, WV |
Palmetto Government Benefits Administrator (Palmetto GBA) |
Implementation is now underway |
|
|
Jurisdiction 12 is now L |
L |
DE, DC, MD, NJ, PA |
Novitas Solutions |
Fully implemented |
|
|
Jurisdiction 13 is now K |
K |
CT, NY |
National Government Services (NGS) |
Consolidation with J14 and fully implemented |
|
|
Jurisdiction 14 is now K |
K |
ME, MA, NH, RI, VT |
National Government Services (NGS) |
Consolidation with J13 and fully implemented |
|
|
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 |
|
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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