A/b MAC cycle 2 jurisdiction 6

Provide specified health insurance benefit administration services, including Medicare, claims processing, and payment services, in support of the Medicare program for Jurisdiction 15 - Ohio and Kentucky.  Additionally, the following states will receive Home Health and Hospice Services: Colorado, Delaware, District of Columbia, Iowa, Kansas, Maryland, Missouri, Montana, Nebraska, North Dakota, Pennsylvania, South Dakota, Utah, Virginia, West Virginia, and Wyoming.

A/B MAC CYCLE 2 ? JURISDICTIONS 6, 11, 14 & 15

Section 911 of the Medicare Prescription Drug Improvement and Modernization Act of 2003 (MMA) requires the Centers for Medicare and Medicaid Services (CMS) to take the necessary steps between now and 2011 to implement Medicare Contracting Reform (MCR). MCR will bring standard contracting principles to Medicare such as competition and performance incentives. These basic contracting principles, which have been applied to other federal programs under the Federal Acquisition Regulation (FAR), have been missing from the Medicare contracting environment. CMS is required to replace the current contracting authority under Title XVIII of the Social Security Act with the new Medicare Administrative Contractor (MAC) authority. The MAC?s will perform the work currently being handled by fiscal intermediaries, carriers, regional home health intermediaries and durable medical equipment regional carriers in administering the Medicare fee-for-service program.



CMS anticipates releasing a solicitation for the Part A and Part B Medicare Administrative Contractors (A/B MAC) for Jurisdiction 6 (comprised of the states of Illinois, Minnesota and Wisconsin), Jurisdiction 11 (comprised of the states of North Carolina, South Carolina, Virginia and West Virginia), Jurisdiction 14 (comprised of the states of Maine, Massachusetts, New Hampshire, Rhode Island and Vermont) and Jurisdiction 15 (compromised of the states of Kentucky and Ohio).



The A/B MAC will provide specified fee-for-service health insurance benefit administration services, including Medicare claims processing and payment services, for most all institutional health care as well as for providers. It is anticipated that this solicitation will result in the award of four stand-alone A/B MAC contracts. These contracts will include a base year and four one-year options. CMS anticipates releasing the solicitation on or about August 30, 2007.









POINTS OF CONTACT



Gina Romano, Contract Specialist, Phone (410) 786-8645, Fax (410) 786-9643, Email Gina.Romano@cms.hhs.gov

Melanie Hooker, Contract Specialist, Phone

(410) 786-5461, Fax (410) 786-9643, Email Melanie.Hooker@cms.hhs.gov

Linda Hook, Contracting Officer, Phone (410) 786-8371, Fax (410) 786-9643, Email Linda.Hook@cms.hhs.gov.

A/B MAC CYCLE 2 ? JURISDICTIONS 6, 11, 14 & 15

Section 911 of the Medicare Prescription Drug Improvement and Modernization Act of 2003 (MMA) requires the Centers for Medicare and Medicaid Services (CMS) to take the necessary steps between now and 2011 to implement Medicare Contracting Reform (MCR). MCR will bring standard contracting principles to Medicare such as competition and performance incentives. These basic contracting principles, which have been applied to other federal programs under the Federal Acquisition Regulation (FAR), have been missing from the Medicare contracting environment. CMS is required to replace the current contracting authority under Title XVIII of the Social Security Act with the new Medicare Administrative Contractor (MAC) authority. The MAC?s will perform the work currently being handled by fiscal intermediaries, carriers, regional home health intermediaries and durable medical equipment regional carriers in administering the Medicare fee-for-service program.



CMS anticipates releasing a solicitation for the Part A and Part B Medicare Administrative Contractors (A/B MAC) for Jurisdiction 6 (comprised of the states of Illinois, Minnesota and Wisconsin), Jurisdiction 11 (comprised of the states of North Carolina, South Carolina, Virginia and West Virginia), Jurisdiction 14 (comprised of the states of Maine, Massachusetts, New Hampshire, Rhode Island and Vermont) and Jurisdiction 15 (compromised of the states of Kentucky and Ohio).



The A/B MAC will provide specified fee-for-service health insurance benefit administration services, including Medicare claims processing and payment services, for most all institutional health care as well as for providers. It is anticipated that this solicitation will result in the award of seven stand-alone A/B MAC contracts. These contracts will include a base year and four one-year options. CMS anticipates releasing the solicitation on or about August 30, 2007.









POINTS OF CONTACT



Gina Romano, Contract Specialist, Phone (410) 786-8645, Fax (410) 786-9643, Email Gina.Romano@cms.hhs.gov

Melanie Hooker, Contract Specialist, Phone

(410) 786-5461, Fax (410) 786-9643, Email Melanie.Hooker@cms.hhs.gov

Linda Hook, Contracting Officer, Phone (410) 786-8371, Fax (410) 786-9643, Email Linda.Hook@cms.hhs.gov.