CMS Selects New A/B MAC

National Heritage Insurance Corp. (NHIC) is the newest Part A/Part B Medicare Administrative Contractor (A/B MAC) to be named by the Centers for Medicare & Medicaid Services (CMS).

CMS has awarded NHIC a five-year, cost-plus-award-fee contract to administer Part A and Part B Medicare claims payment in Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont — also known as jurisdiction 14. The contract is reportedly worth about $176 million, according to a press release issued by CMS on Nov. 19.

NHIC — currently a carrier for Maine, Massachusetts, New Hampshire, and Vermont — will replace three fiscal intermediaries and one other carrier by May 2009. NHIC headquarters will be in Hingham, Mass. with additional sites in Quincy, Mass., Boston, Mass., and Biddeford, Maine.

This is the 10th contract CMS has awarded since 2005, and the second contract NHIC has won this year. CMS awarded NHIC jurisdiction 2 (Alaska, Idaho, Oregon and Washington) just last May. CMS will have named 15 A/B MACs by 2011. The remaining jurisdictions CMS has yet to award include 6 (Illinois, Minnesota and Wisconsin), 8 (Indiana and Michigan), 10 (Alabama, Georgia and Tennessee), 11 (North Carolina, South Carolina, Virginia, and West Virginia), and 15 (Kentucky and Ohio).

Medicare Contracting Reform mandates that the Secretary of Health and Human Services (HHS) replace the current contracting authority to administer the Medicare Part A and Part B fee-for-service (FFS) programs with the new MAC authority.

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2 Responses to “CMS Selects New A/B MAC”

  1. Linda McNeil says:

    Your article states that “CMS awarded NHIC jurisdiction 2 (Alaska, Idaho, Oregon and Washington) just last May.” However, Noridian, the current carrier, appealed this decision, and the contract has been put out for re-bid. A decision is expected in April/May 2009, according to the Nordian staff.

    Linda

  2. Tammy Parrish says:

    Everyone is human and everyone is allowed an outburst. We are asked and given unreasonable goals to meet. Like going over to a new computer system, prices lower on new system, claim’s going out cleaner on front end and expected charge totals to be more than what they where before. JOKE AND GET REAL!!!!!!!! I’m a person that only takes so much bull that’s not my fault befor I say something and then I not going to take no more because it’s not RIGHT.

    I guess those on the board are some of those unreasonabe people that are over other people that have no clue as to what really goes on in the real work world.

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