Highmark and Palmetto win latest MAC contracts

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains recent CMS Medicare Administrative Contractor award decisions and the resulting changes in claim-processing jurisdictions for several states and territories. It is relevant to providers, billing staff, and revenue cycle teams that track Medicare contractor changes, jurisdiction assignments, and implementation timelines.

Why This Topic Matters

Medicare contractor transitions can affect claim submission workflows, jurisdiction coverage, and administrative coordination for affected providers and billing organizations. The article helps readers understand which contractors were awarded new regions, when transitions were expected, and how the broader MAC rollout was progressing.

Article Sections

  1. CMS announces new MAC awards

    Overview of the new contractor awards and the broader Medicare Administrative Contractor program rollout. Includes the agencies and jurisdictions involved at a high level.

  2. Jurisdiction 1 transition

    Discussion of the contractor change affecting the western jurisdiction and the states and territories included in that area. Also notes the expected transition timing.

  3. Jurisdiction 12 transition

    Discussion of the contractor change affecting the mid-Atlantic jurisdiction and the states moving under the new contractor. Includes the expected implementation timeline.

  4. Contract values and rollout status

    Summary of contract value information, the share of Medicare claims associated with the jurisdictions, and the status of the broader MAC award process.

  5. Previously awarded MAC contracts

    Brief recap of earlier contractor awards and the jurisdictions they cover.

What You Will Learn

  • How CMS described the latest Medicare contractor award announcements
  • Which jurisdictions were affected by the announced transitions
  • The general timeline for contractor implementation
  • How the announced awards fit into the broader MAC rollout

Who Should Read This

  • Medical coders
  • Billing staff
  • Revenue cycle managers
  • Medicare providers
  • Practice administrators

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