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.
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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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.
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.