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Printed Date: 9/22/2015
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. 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. The supplier is to submit the claim in to Jurisdiction B where the Medicare beneficiary lives most of the year and not to Jurisdiction D where the supplier is located or where the beneficiary is temporarily living.
Below is a list of each DME MAC and the states and territories they service.
Jurisdiction A is serviced by Noridian Healthcare Solutions and includes Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont.
Jurisdiction B is serviced by CGS and includes Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio and Wisconsin.
Jurisdiction C is serviced by CGS and includes Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virginia, West Virginia and the US Virgin Islands.
Jurisdiction D is serviced by Noridian Healthcare Solutions and includes Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Iowa, Kansas, Missouri, Montana, Nebraska, Nevada, North Dakota, Northern Mariana Islands, Oregon, South Dakota, Utah, Washington and Wyoming,
To view a map of the DME contractors and the areas they service, please click on the links below. Also, the NSC is happy to assist you with questions regarding your supplier file, the Medicare DMEPOS supplier standards, licensure issues and other NSC related topics. If you have questions related to claims, reimbursement, etc., please contact your DME MAC/Region.
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Last Updated: 06/29/2016