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MAXIMUS Federal Services is a Qualified Independent Contractor (QIC) for Medicare Durable Medical Equipment (DME) claims for all DME jurisdictions. For information on how to file a DME reconsideration request please refer to “How to file an appeal” under the Medicare Appellants option.
Durable Medical Equipment Medicare Administrative Contractors
Listing of DME Medicare Administrative Contractors
Durable Medicare Equipment Medicare Administrative Contractors (DME MACs) are organizations that have entered into a contract with Medicare to determine at the first level of appeal whether a claim for Medicare benefits under Part B should be paid. Any party to the redetermination that is dissatisfied with the redetermination decision may appeal that decision by submitting a request for reconsideration (second level appeal) to MAXIMUS Federal, the DME Qualified Independent Contractor.
| DME Jurisdictions | MAC | States |
|---|---|---|
| Jurisdiction A | Noridian Healthcare Solutions, LLC | Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont |
| Jurisdiction B | CGS Administrators, LLC | Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio and Wisconsin |
| Jurisdiction C | CGS Administrators, LLC | Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, U.S. Virgin Islands, Virginia and West Virginia |
| Jurisdiction D | Noridian Healthcare Solutions, LLC | 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 |
