X

Palmetto GBA loses protest for Medicare contract

January 22, 2013
Area(s) of Interest: Payor Contracting 


On January 18, the U.S. Government Accountability Office (GAO) announced that it had denied Palmetto GBA’s protest and awarded the Medicare contract for Jurisdiction E (previously referred to as J1) to Noridian Administrative Services.


The Centers for Medicare & Medicare Services (CMS) first announced in September 2012 that Noridian has been named the new Medicare Administrative Contractor for Medicare Parts A and B in California, Nevada and Hawaii, as well as the U.S. territories of American Samoa, Guam and the Northern Mariana Islands (Jurisdiction E, previously called Jurisdiction 1).


Jurisdiction E includes over 3.5 million Medicare fee-for-service beneficiaries, 500 Medicare hospitals and 86,500 physicians. MACs process Part A and Part B claims and perform other critical Medicare operational functions, including enrolling, educating and auditing Medicare providers.


Noridian and Palmetto are awaiting further direction from CMS on the transition plan, including a transition date. The California Medical Association (CMA) will work closely with the two companies to ensure a smooth transition. Until further direction is received, members should continue with business as usual.


Contact: CMA member service center, (800) 786-4262 or memberservice@cmadocs.org.

Stay Informed

Opt in to receive updates on the latest health care news, legislation, and more.

Join CMA Today!

Explore why over 44,000 California physicians have joined CMA to advocate for patients, the medical profession and the future of health care.

Was this page helpful?