On January 7, 2009, CMS announced it had awarded the remaining five contracts for the combined administration of Part A/Part B Medicare: 

Noridian Administrative Services, LLC (NAS) was awarded a contract for the combined administration of Part A/Part B Medicare claims payment in Jurisdiction 6 comprised of Illinois, Minnesota and Wisconsin.  The contract also included the home health and hospice processing workload in Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Michigan, Minnesota, Nevada, New Jersey, New York, Northern Mariana Islands, Oregon, Puerto Rico, U.S. Virgin Islands, Wisconsin and Washington.  However, four protests against the award were filed with the GAO.  CMS is currently taking corrective action on certain aspects of the award decision.  In the meantime, the current fiscal intermediaries and carriers will continue to provide Medicare claims processing services under their contracts.

National Government Services, Inc (NGS) was awarded the contract for the combined administration of Part A/Part B Medicare claims payment in Jurisdiction 8 comprised of Indiana and Michigan.  On January 26, 2009, a protest against the award was filed with the GAO.  GAO's decision on the protest must be issued no later than 100 days after the protest was filed.  In this case the deadline for GAO decision on the protest is May 6, 2009.  In accordance with the CICA, the filing of the protest triggered an automatic stay on performance of the NGS contract pending GAO's decision. 

Cahaba Government Benefit Administrators, LLC (Cahaba GBA) was awarded a contract for the combined administration of Part A/Part B Medicare claims payment in Jurisdiction 10 comprised of Alabama, Georgia and Tennessee.

Palmetto Government Benefits Administrator, LLC (Palmetto GBA) was awarded a contract for the combined administration of Part A/Part B Medicare claims payment in Jurisdiction 11 comprised of North Carolina, South Carolina, Virginia and West Virginia.  The contract also included the home health and hospice processing workload in Alabama, Arkansas, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Mississippi, New Mexico, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee and Texas. However, on February 2, 2009 a protest against the award was filed with GAO.  CMS is currently taking corrective action on certain aspects of the award decision.  In the meantime, the current fiscal intermediaries and carriers will continue to provide Medicare claims processing services under their contracts.

Highmark Medicare Services, Inc (HMS) was awarded a contract for the combined administration of Part A/Part B Medicare claims payment in Jurisdiction 15 comprised of Kentucky and Ohio.  The contract also included the home health and hospice processing workload in Colorado, Delaware, District of Columbia, Iowa, Kansas, Maryland, Missouri, Montana, Nebraska, North Dakota, Pennsylvania, South Dakota, Utah, Virginia, West Virginia and Wyoming.    However, two protests against the award have been filed with GAO.  GAO's decision on the protests must be issued no later than 100 days after the protests were filed. In this case, the deadline for GAO's decision on the protests is May 2009.  In accordance with the CICA, the filing of the protest triggered an automatic stay on performance of the HMS contract pending GAO's decision.  

These contractors will immediately begin implementation activities and will assume full responsibility for the claims processing work in their respective jurisdictions no later than March 2010.  Background sheets and Qs & As related to the awards are available at the A/B MAC Procurement and Implementation link to the left. 

This site is updated regularly.  All major website changes occurring within the last 30 days will be logged here for easy reference.

Downloads
There are no Downloads
Related Links Inside CMS
There are no Related Links Inside CMS
Related Links Outside CMS
There are no Related Links Outside CMS

Page Last Modified: 04/06/2009 7:30:36 AM
Help with File Formats and Plug-Ins