CMS names new Medicare administrative contractor

The federal Centers for Medicare and Medicaid Services has named a new Medicare Administrative Contractor (MAC) for Jurisdiction 7, which includes Arkansas, Louisiana and Mississippi.

CMS announced that TrailBlazer Health Enterprises of Dallas would serve as the Jurisdiction 7 MAC for five years. The contract includes four available option years.

TrailBlazer serves as the MAC for Jurisdiction 4, composed of Texas, Oklahoma, New Mexico and Colorado, and will begin implementing operations in the new service area immediately.

Gil R. Glover, TrailBlazer's president and chief operating officer, said the company's implementation plan includes extensive, ongoing communications with Medicare providers regarding transition activities and schedules.

Glover said MAC Jurisdictions 4 and 7 comprise more than 13 percent of the national Medicare fee-for-service workload. MAC contractors generally are responsible for claims payments, Medicare provider enrollment and customer service and audit activities.

There are 15 MAC jurisdictions nationally for administration of the Medicare fee-for-service program.

TrailBlazer's Medicare operations span the history of the federal health program from its inception in 1966. The company is also the designated national MAC for Indian Health Service providers and conducts other specialized national and regional Medicare operations.

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