CMS Announces New Medicare Contractor

On November 8, 2011, CMS awarded the Jurisdiction H (JH) Medicare Administrative Contractor (MAC) contract to Highmark Medicare Services (HMS).  The JH MAC contract covers Medicare Part A and Part B claims processing services in the states of Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma and Texas which includes all Indian Health Service/Tribal/Urban Indian and Veteran Affairs providers currently served by J4MAC.  As of January 2012, Highmark Medicare Services assumed the new corporate name of Novitas Solutions, Inc. (Novitas).

Novitas will process Medicare fee-for-service claims and other administrative services for hospitals and other institutional providers, physicians, and health care practioners in these states.  Novitas will also process Indian Health Service facility claims for the entire country and serve as the designated A/B MAC to support centralized billing for Mass Immunizers.

https://www.cms.gov/Medicare/Medicare-Contracting/MedicareContractingReform/downloads//JHawardBackgroundSheet.pdf

https://www.cms.gov/Medicare/Medicare-Contracting/MedicareContractingReform/downloads//JHAwardQAs.pdf

 

Q&A

https://www.cms.gov/Medicare/Medicare-Contracting/MedicareContractingReform/downloads//JHAwardQAs.pdf

 

Date for Transition

The transition date to cutover to Novitas from Trailblazer for Texas Medicaid Part B is November 19, 2012.

 

Novitas Introducing JH Transition Podcast

To keep up with JH transition news subscribe to the Novitas new free podcast, JH Transition News.  JH Transition News will present important transition information in a concise audio program.

 

CLICK HERE ON MORE INFORMATION ON HOW TO SUBSCRIBE

 

 

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