![]() ![]() This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. Īpplicable FARS/DFARS restrictions apply to government use. Applications are available at the AMA Web site. #MEDICARE ABCD LICENSE#License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, 515 N. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement.Īny use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare & Medicaid Services (CMS). #MEDICARE ABCD PDF#You, your employees, and agents are authorized to use CPT only as contained in the following authorized materials (web pages, PDF documents, Excel documents, Word documents, text files, Power Point presentations and/or any Flash media) internally within your organization within the United States for the sole use by yourself, employees, and agents. If you have questions related to claims, reimbursement, etc., please contact your DME MAC/Region.ĬPT codes, descriptions and other data only are copyright 2012 American Medical Association (or such other date of publication of CPT). Also, the NSC is happy to assist you with questions regarding your supplier file, the Medicare DMEPOS supplier standards, licensure issues and other NSC related topics. ![]() To view a map of the DME contractors and the areas they service, please click on the links below. Jurisdiction D is serviced by Noridian Healthcare Solutions and includes Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Iowa, Kansas, Missouri, Montana, Nebraska, Nevada, North Dakota, Northern Mariana Islands, Oregon, South Dakota, Utah, Washington and Wyoming, ![]() Jurisdiction C is serviced by CGS and includes Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virginia, West Virginia and the US Virgin Islands. Jurisdiction B is serviced by CGS and includes Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio and Wisconsin. Jurisdiction A is serviced by Noridian Healthcare Solutions and includes Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont. ![]() #MEDICARE ABCD MAC#The supplier is to submit the claim in to Jurisdiction B where the Medicare beneficiary lives most of the year and not to Jurisdiction D where the supplier is located or where the beneficiary is temporarily living.īelow is a list of each DME MAC and the states and territories they service. The supplier provides Medicare-covered items to a Medicare beneficiary who calls Minnesota home for eight months of the year, but who spends about four months in California. Claims must be submitted to the DME MAC that serves the state or territory where the Medicare beneficiary permanently resides.įor example: A supplier is located in California. Each Durable Medical Equipment Administrative Contractor (DME MAC) is responsible for processing claims for specific states and territories. ![]()
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