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 myCGS Kentucky myCGS Ohio	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 Jurisdiction E Jurisdiction F	Local Coverage Determinations Jurisdiction E Jurisdiction F
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 Jurisdiction H Jurisdiction L
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: Jurisdiction 5 Jurisdiction 8	Fees: Jurisdiction 5 Jurisdiction 8	Active/Final Policies: Jurisdiction 5 Jurisdiction 8