On this page:
- Contract Award Information
- Contract Implementation Status and Schedule
- A/B MAC Jurisdiction M - Part A and Part B Facts
- A/B MAC Jurisdiction M - Home Health and Hospice Facts
- Who were the former contractors in this jurisdiction?
Contract Award Information
- Solicitation on SAM.gov (SAM): 75FCMC22R0001, posted January 19, 2022
-
Award Announcement: A/B MAC Jurisdiction M award on SAM, September 23, 2022
- Contract Awardee: Palmetto GBA, LLC, contract number 75FCMC22C0037
- A/B MAC Jurisdiction M Award Fact Sheet (PDF) (September 2022)
- Anticipated Contract End Date: TBD
Contract Implementation Status and Schedule
- Implementation: In progress
- A/B States Impacted: North Carolina, South Carolina, Virginia, and West Virginia
- HH+H States Impacted: Alabama, Arkansas, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Mississippi, New Mexico, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee and Texas
- Outgoing Contractor: Palmetto GBA, LLC
- Incoming Contractor: Palmetto GBA, LLC
* As Palmetto GBA is the incumbent contractor for A/B MAC Jurisdiction M, CMS anticipates that implementation of the new contract will go smoothly, with few (if any) disruptions in service for Medicare beneficiaries and providers.
A/B MAC Jurisdiction M - Part A and Part B Facts
- JM processes FFS Medicare Part A and Part B claims for North Carolina, South Carolina, Virginia, and West Virginia
- Total Number of Fee-for-Service Beneficiaries: 3,069,107(as of 9/30/2022)
- Total Number of Physicians: 76,992 (as of 9/30/2022)
- Total Number of Medicare Hospitals: 315 (as of 9/30/2022)
- Total Annual Claims Volume: 8.1% of national Part A/Part B workload (as of 9/30/2022)
Note: For Part B services, A/B MAC Jurisdiction M excludes the counties of Arlington and Fairfax in Virginia along with the city of Alexandria in Virginia.
A/B MAC Jurisdiction M - Home Health and Hospice Facts
- JM processes FFS Medicare HH+H claims for Alabama, Arkansas, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Mississippi, New Mexico, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee and Texas
- Total Number of Fee-for-Service Beneficiaries: 14,287,496 (as of 9/30/2022)
- Total Number of Home Health Agencies: 5,786 (as of 9/30/2022)
- Total Number of Hospices: 2,193 (as of 9/30/2022)
- Total Annual Claims Volume: 50.2% of national HH+H Workload (as of 9/30/2022)
Who were the former contractors in this jurisdiction?
Learn about the former contractors in this jurisdiction at Archives: A/B MAC Jurisdiction M.