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During the initial implementation phase (2005-2011), CMS plans to compete and award contracts for four specialty MACs servicing durable medical equipment (DME) suppliers. The jurisdictions of the four DME MACs will overlay the boundaries of the 15 A/B MAC jurisdictions (see DME MAC Jurisdiction Map below). CMS designed these jurisdictions to balance the allocation of workloads, promote competition, account for integration of claims processing activities, and mitigate the risk to the Medicare program during the transition to the new contractors. The new jurisdictions reasonably balance the number of fee-for-service beneficiaries and providers. These jurisdictions will be substantially more alike in size than the existing fiscal intermediary and carrier jurisdictions, and they will promote much greater efficiency in processing Medicare's billion plus claims a year. The home health and hospice workload has also been split into four jurisdictions (see HH&H MAC Jurisdiction Map below). CMS is not going to procure separate MACs to service home health and hospice providers. Instead, CMS will integrate these four jurisdictional claims workloads into the following four A/B MAC competitions: - Jurisdiction 6 will include home health and hospice Jurisdiction D,
- Jurisdiction 11 will include home health and hospice Jurisdiction C,
- Jurisdiction 14 will include home health and hospice Jurisdiction A and
- Jurisdiction 15 will include home health and hospice Jurisdiction B.
Maps of the jurisdictions are available below, as are fact sheets for each jurisdiction.
Page Last Modified: 06/16/2009 7:42:50 AM
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