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:
Note: These resources are compiled annually. Providers should refer to their local MAC [PDF] for the most current information.
MAC | States Covered |
Patient Eligibility & Therapy Dollars | Medicare Fee Schedules |
Local Coverage Determinations |
|
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Cahaba Government Benefit Administrators | Jurisdiction 10: AL, GA, TN |
By phone at 877-567-7271
|
Cahaba GBA Medicare Part B Fee Schedule Allowances
|
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CGS Administrators, LLC | Jurisdiction 15: KY, OH |
Online at |
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First Coast Service Options, Inc. | Jurisdiction 9: FL, Puerto Rico, U.S. Virgin Islands | By phone at 877-847-4992 |
Fee Schedules | ||
Jurisdiction 6: IL, MN, WI Jurisdiction K: CT, NY, MA, ME, NH, RI, VT |
Online at Connex Online Inquiry System | Fee Schedule Information | |||
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 |
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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
|
Medicare Part A and B Fee Schedules | ||
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 |
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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: |