8/23/2021

Dme Mac Region D Supplier Manualdwnloadblock

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Dme mac supplier manual

DME MACs process Medicare claims for durable medical equipment, prosthetics, orthotics, and suppliers under Part B of the Medicare Fee-for-Service program for a defined geographic area or “jurisdiction.” The DME MACs will process claims based on a Medicare Beneficiary’s principal residence by state.

  1. Contact Medicare with your Hospital Insurance (Medicare Part A), Medical Insurance (Medicare Part B), and Durable Medical Equipment (DME) questions. Call 1-800-Medicare (1-800-633-4227) or TTY/TDD - 1-877-486-2048. Electronic Medicare Summary Notice. Learn More About eMSN; Mail Medicare Beneficiary Contact Center P.O. Box 39 Lawrence, KS 66044.
  2. New Medicare Card News Important Events Webinars CEDI Listserv Registration Resources FAQs & Reference Documents Front End Edits Documentation Technical Specification Approved Entities List Vendor Testing Information Acronyms.

DME A — Noridian Healthcare Solutions, LLC
(Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont)

DME B —CGS Administrators, LLC
(Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio, Wisconsin)

DME C — CGS Administrators, LLC
(Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, West Virginia, Puerto Rico, U.S. Virgin Islands)

DME D — Noridian Healthcare Solutions, LLC
(Alaska, Arizona, California, Hawaii, Idaho, Iowa, Kansas, Missouri, Montana, Nebraska, Nevada, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming, American Samoa, Guam, Northern Mariana Islands)

Medicare will cover many pieces of Durable Medical Equipment. Part B will include most medical equipment you may need. Coverage can include prescriptions that may accompany equipment, like medications with a nebulizer. Equipment is essential for so many because it can help with daily tasks. Medicare Part B prosthetic device benefit, for beneficiaries residing at a private residence or an institutional facility, when the stay is not covered by Medicare Part A. Medicare beneficiaries are assigned to one of the four Durable Medical Equipment Medicare Administrative Contractor (DME MAC) regions, based on their permanent address. A type of Medicare ID that is used as a Medicare billing number assigned to Part B suppliers and practitioners by the Medicare contractors. Publicly Traded Corporation A company issuing stocks, which are traded on the open market either on the stock exchange or on the over the counter market.

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Answer
The jurisdictional DME Medicare Administrative Contractors (DME MACs) process claims for DMEPOS items for both Medicare and Railroad Medicare beneficiaries. You can use the resources below to find your local DME MAC.

Dme Mac Jurisdiction A Supplier Manual

CMS publishes an annual DMEPOS Jurisdiction List on the Durable Medical Equipment (DME) Center page of their website. Items listed as under DME MAC jurisdiction on the DMEPOS Jurisdiction List should be billed to your local DME MAC. Items listed as under Local Carrier jurisdiction on the DMEPOS Jurisdiction List should be billed to Palmetto GBA Railroad Medicare for Railroad Medicare beneficiaries.

Dme Mac Jurisdiction D Supplier Manual

Resources:

Dme Mac Supplier Manual

  • CMS DME MAC Jurisdictions Page (PDF, 338 KB)
  • CMS Review Contractor Directory – Interactive Map
  • 2020 DMEPOS Jurisdiction List (ZIP, 59 KB)
  • 2019 DMEPOS Jurisdiction List (ZIP, 38 KB)
  • 2018 DMEPOS Jurisdiction List (ZIP, 37 KB)
  • 2017 DMEPOS Jurisdiction List (ZIP, 36 KB)
  • CMS Durable Medical Equipment (DME) Center