Part A/B Medicare Administrative Contractor (MAC) Jurisdiction 15 (15) RFP

This award is the result of a competitive procurement. The contract type is not fixed price because of the ongoing changes in the Medicare program requirements directed by mandatory legislation and because resulting performance uncertainties in many functional areas are such that reasonable estimates of their cost impact cannot be made. The purpose of this contract is to obtain a Part A/Part B (A/B) Medicare Administrative Contractor (hereinafter referred to as - the contractor or - MAC or - A/B MAC) to provide specified health insurance benefit administration services, including Medicare claims processing and payment services, in support of the - traditional Medicare program (also known as the Medicare fee-for-service or FFS, program) for Jurisdiction 15. Jurisdiction 15 includes the states of Kentucky and Ohio. The J15 MAC is also responsible for processing Medicare Home Health and Hospice (HHH) billings in the District of Columbia and the following 15 states: Colorado, Delaware, Iowa, Kansas, Maryland, Missouri, Montana, Nebraska, North Dakota, Pennsylvania, South Dakota, Utah, Virginia, West Virginia and Wyoming.