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  Jurisdiction 13 Transition

National Government Services: Your Medicare Administrative Contractor

 

 

On March 18, 2008, the Centers for Medicare & Medicaid Services (CMS) announced the award of the contract for the combined administration of Part A and Part B Medicare fee-for-service claims in Jurisdiction 13 to National Government Services. National Government Services will to serve as the new A/B Medicare administrative contractor (A/B MAC) for Jurisdiction 13 (J13), which includes the states of Connecticut and New York.


National Government Services will partner with MedUS Services (a wholly owned subsidiary of HealthNow New York Inc.), the Upstate New York Part B incumbent, for the administration of this contract. MedUS Services will process a portion of the J13 Part B Claims, Appeals, Medical Review, Provider Enrollment, and Provider Outreach workloads. We are pleased to introduce this J13 National Government Services team to you and your staff. The benefit of this exceptional partnership is the integration of the strengths and experience of each team member to form a seamless operational environment providing superior services to the J13 Medicare community.


The National Government Services team is committed to continuing our service of excellence to Medicare providers and beneficiaries. We look forward to working with you to successfully implement the J13 MAC.

 

Implementation Schedule

 

National Government Services will assume responsibility for J13 MAC workload in five (5) segments (states). Below is listed the cutover or transition date for each workload. Please note that regardless of the date of service, all claims processing, customer service and payments will be handled by the J13 MAC upon the cutover dates listed below. Outgoing contractors will transfer all pending and in-process operations to the J13 MAC at that time. These dates are subject to change as directed by CMS.

Current Contractor - 5 Segments
State(s)
Cut-Over Date
GHI Part B – Segment 1
Queens, NY
7/18/2008
Empire Part B – Segment 2
Downstate New York
7/18/2008
FCSO Part B – Segment 3
Connecticut
8/1/2008
HealthNow Part B – Segment 4
Upstate New York
9/1/2008
Empire Part A – Segment 5
New York State
11/14/2008
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