| MAC |
States Covered
|
Patient Eligibility & Therapy Dollars |
Medicare Fee Schedules
|
Local Coverage Determinations
|
| Cahaba Government Benefit Administrators |
AL, GA, TN
|
- 877-567-7271 (AL, GA, TN)
- 866-419-9454 (MS)
|
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 |
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. |
FL, Puerto Rico, U.S. Virgin Islands |
By phone at 877-847-4992
|
Fee Schedules (will be asked to select location and Part A or B) |
LCDs/Medical Policy (will be asked to select location and Part A or B)
|
National Government Services, Inc.
|
CT, NY |
Online at Connex Online Inquiry System |
Fee Schedule Information |
Medical Policy Center
|
| NHIC, Corp. |
MA, ME, NH, RI, VT |
Online at Provider Services Portal |
Fee Schedules and Related Information |
Policy Indices
|
| Noridian Administrative Services, LLC |
AK, AZ, ID, MT, ND, OR, SD, UT, WA, WY
|
Online at Endeavor |
Medicare Physician Fee Schedule (MPFS) |
LCDs/Coverage/Medical Review |
| Novitas Solutions, Inc. |
AR, CO, DC, DE, LA, MD, MS, NJ, NM, OK, PA, TX, VA*
*Only for the Counties of Arlington and Fairfax and the City of Alexandria. For the rest of VA, see Palmetto GBA.
|
Online at Professional Provider Telecommunication Network |
Medicare Part A and B Fee Schedules |
Medical Policy Center
|
Palmetto GBA
|
Jurisdiction 1: CA, HI, NV
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
Legacy Part B*: IL, MN, WI
*These states will be transitioned to National Government Services on September 7, 2013.
|
CMS Secure Net Access Portal online at:
|
Fees:
|
Active/Final Policies:
|