• Dme Mac Jurisdiction D Supplier Manual
• Dme Mac Jurisdiction D Supplier Manual

Dme Mac Jurisdiction D Supplier Manual

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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Dme Mac Jurisdiction D Supplier Manual

In the new guidance, suppliers are directed to fill and submit the Reopening Request forms available on the DME MAC websites. Suppliers need to fax the completed forms to the appropriate DME MAC fax numbers that is listed at the bottom of the form. CMS published the following instructions on filling out the forms. Woof woof woof...uhh, meow?. DME MAC or ZPIC medical staff must resolve the issue. Acceptability of Faxed Orders and Facsimile or Electronic CMNs or DIFs CMS Manual System, Pub. 100-08, Medicare Program Integrity Manual, Chapter 5, §5.3 When reviewing claims and orders or auditing CMNs or DIFs for DMEPOS, DME MACs and ZPICs. JURISDICTION DME MAC/DMERC PHONE NUMBER Jurisdiction A National Heritage Insurance Co. How to download rar files on mac. Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New York, New Hampshire, New Jersey, Pennsylvania, Rhode Island and Vermont DME - Specialty Claims P.O. Box 9165 Hingham, MA www.medicarenhic.com IVR: (866) 419-9458.