How many Medicare jurisdictions are there?

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.

What states are in Medicare Jurisdiction A?

United States
Centers for Medicare & Medicaid Services/Jurisdiction

What is Medicare Jurisdiction C?

Jurisdiction C includes Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, U.S. Virgin Islands, Virginia, and West Virginia.

What is a Mac jurisdiction?

A Medicare Administrative Contractor (MAC) is a private health care insurer that has been awarded a geographic jurisdiction to process Medicare Part A and Part B (A/B) medical claims or Durable Medical Equipment (DME) claims for Medicare Fee-For-Service (FFS) beneficiaries.

What is the jurisdiction for Medicare Part B MAC?

Please consult the Medicare contractor in whose jurisdiction a claim would be filed in order to determine coverage under Medicare. Part B MAC if incident to a physician’s service (not separately payable).

What is jurisdiction B of the Medicare DME?

Jurisdiction B is serviced by CGS and includes Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio and Wisconsin.

Where do Medicare claims go to DME Mac?

DME MAC Jurisdictions and Map. Each Durable Medical Equipment Administrative Contractor (DME MAC) is responsible for processing claims for specific states and territories. Claims must be submitted to the DME MAC that serves the state or territory where the Medicare beneficiary permanently resides. For example: A supplier is located in California.

Where do Medicare claims have to be submitted?

Claims must be submitted to the DME MAC that serves the state or territory where the Medicare beneficiary permanently resides. For example: A supplier is located in California. The supplier provides Medicare-covered items to a Medicare beneficiary who calls Minnesota home for eight months of the year, but who spends about four months in California.