American Speech-Language-Hearing Association

Medicare Administrative Contractor (MAC) Resources

Medicare Part B Services

Medicare Administrative Contractors (MACs) regionally manage policy and payment related to reimbursement and act as the fiscal intermediary for Medicare. MACs manage provider claims for payment and establish regional policy guidelines, called Local Coverage Determinations (LCDs). THe MACs are the primary resource for audiologists and speech-language pathologists providing and billing for services to Medicare beneficiaries. The table below includes the following information for each of the Medicare Part B MACs:

  • Link to the MAC website for Part B (outpatient) services, by state
  • How to check patient eligibility and therapy dollars towards the Medicare therapy cap
  • Where to access the Medicare Fee Schedule
  • Where to access Part B LCDs

Note: These resources are compiled annually. Providers should refer to their local MAC [PDF] for the most current information.

MAC Contact Information and Links for Part B Resources

MAC

States Covered

Patient Eligibility & Therapy Dollars

Medicare Fee Schedules

Local Coverage Determinations

Cahaba Government Benefit Administrators

Jurisdiction 10: AL, GA, TN

By phone at 877-567-7271

Cahaba GBA Medicare Part B Fee Schedule Allowances

  • Select a year
  • Select "Physician Fee Schedule State Search"

Local Coverage Determination (LCD) & Articles

CGS Administrators, LLC

Jurisdiction 15: KY, OH

Online at

Kentucky Part B Fee Schedules

Ohio Part B Fees

Kentucky Part B Local Coverage Determinations

Ohio Part B Local Coverage Determinations

First Coast Service Options, Inc. Jurisdiction 9: FL, Puerto Rico, U.S. Virgin Islands

By phone at 877-847-4992

Fee Schedules

 LCDs/Medical Policy

National Government Services, Inc.

Jurisdiction 6: IL, MN, WI

Jurisdiction K: CT, NY, MA, ME, NH, RI, VT

Online at Connex Online Inquiry System Fee Schedule Information

Medical Policy Center

Noridian Administrative Services, LLC

Jurisdiction E: CA, HI, NV, American Samoa, Guam, Northern Mariana Islands

Jurisdiction F: AK, AZ, ID, MT, ND, OR, SD, UT, WA, WY

Online at Endeavor

Medicare Part B Fee Schedules

Local Coverage Determinations

Novitas Solutions, Inc.

Jurisdiction H: AR, CO, LA, MS, NM, OK, TX

Jurisdiction L: DE, DC, PA, NJ, MD, VA*

*Only for the Counties of Arlington and Fairfax and the City of Alexandria. For the rest of VA, see Palmetto GBA.

By phone at

  • 855-252-8782 (Jurisdiction H)
  • 877-235-8073 (Jurisdiction L)
Medicare Part A and B Fee Schedules

Medical Policy Center

Palmetto GBA

Jurisdiction 11: NC, SC, VA*, WV

*Excludes Counties of Arlington and Fairfax and the City of Alexandria. For these localities, see Novitas Solutions.

Online at Online Provider Services

Part B Fee Schedules

Part B LCDs and NCDs

Wisconsin Physician Service (WPS) Insurance Corporation

Jurisdiction 5: IA, KS, MO, NE

Jurisdiction 8: IN, MI

CMS Secure Net Access Portal online at: 

Fees:

Active/Final Policies:

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