During initial implementation (2005-2010) of MAC procurements, Medicare's claims processing operations have realized significant operational savings from the consolidation of state workloads and the efficiencies gained through integrating Part A and Part B functionality. CMS believes that the efficiency and effectiveness of its contracted Medicare claims operations can be further increased by consolidating some of the smaller A/B MAC workloads to form larger A/B MAC jurisdictions, further reducing the size range among the A/B MACs. In addition, CMS believes that reducing the number of A/B MAC contracts to ten will improve the efficiency and effectiveness of CMS's internal MAC procurement and contract administration processes.
| Former Jurisdiction Designation | New Jurisdiction Designation | Current Contractor | Status |
|---|
| A (DME) | [no change] | National Heritage Insurance Corp. | Fully Implemented NHIC Awarded Rebid, 3/2011 |
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| B (DME) | [no change] | National Government Services | Fully Implemented NGS Awarded Rebid, 9/2010 |
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| C (DME) | [no change] | CIGNA Government Services | Fully Implemented Recompete in progress |
|---|
| D(DME) | [no change] | Noridian Administrative Services | Fully Implemented NAS Awarded Rebid, 2/2011 |
|---|
| 1 | E | Palmetto Government Benefits Administrators | Fully Implemented Recompete in early 2012 |
|---|
| 2 | F | Noridian Administrative Services | Consolidated with Jurisdiction 3 forming Jurisdiction F. Contract awarded to NAS 8/2011; implementation underway. |
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| 3 | F | Noridian Administrative Services | Contract awarded to NAS 8/2011. Consolidated with Jurisdiction 2 forming Jurisdiction F; implementation underway. |
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| 4 | H | TrailBlazer Health Enterprises
(pending JH implementation) | Consolidated with Jurisdiction 7 forming Jurisdiction H Contract awarded to Highmark Medicare Services 11/9/11; Award protest received 11/22/11; GAO decision expected by 3/2012 |
|---|
| 5 | G | Wisconsin Physicians Services | Recompete in Progress since 06/2011
To be consolidated with Jurisdiction 6 in several years (and renamed Jurisdiction G) |
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| 6 | G | Noridian Administrative Services (pending J6 implementation) (NAS - MN A)
National Government Services, Inc., (NGS) (WI/IL A)
Wisconsin Physicians Service Insurance Corporation (WPS) (MN, IL, WI B) | Contract awarded to NGS 9/30/2011 Award protest received; stay of contract performance issued; GAO decision expected 02/2012 |
|---|
| 7 | H | Pinnacle Business Solutions-(pending JH implementation) | Consolidated with Jurisdiction 4 forming Jurisdiction H. Contract awarded to Highmark Medicare Services 11/09/11; Award protest received 11/22/11; GAO decision expected by 03/2012 |
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| 8 | I | pending J8 implementation NGS (IN/MI A) NGS (IN B) WPS (MI B) | Contract awarded to WPS 09/30/2011; Award protest received; stay of contract performance issued; GAO decision expected 02/2012 |
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| 9 | N | First Coast Service Options, Inc | Fully Implemented Recompete expected in September of 2012 |
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| 10 | J | Cahaba Government Benefit Administrators | Fully Implemented Recompete expected approximately January2013 |
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| 11 | M | Palmetto Government Benefits Administrators | Fully implemented June, 2011 |
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| 12 | L | Highmark Medicare Services | Fully Implemented; next RFP to be posted in Q2 FY 2012 |
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| 13 | K | National Government Services | Fully Implemented. Consolidated with Jurisdiction 14.forming Jurisdiction K. RFP expected Q2 FY 2012.. |
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| 14 | K | National Heritage Insurance Corp. | Fully Implemented. Consolidated with Jurisdicition 13 forming Jurisdiction K. RFP expected Q2 FY 2012. |
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| 15 | I | CIGNA Government Services | Fully implemented October 17, 2011. |
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