J15 A/B MAC Contract Re-Award Announcement

On November 30, 2023, the Centers for Medicare & Medicaid Services (CMS) announced that CGS Administrators was re-awarded the Part A/Part B Medicare Administrative Contractor (A/B MAC) Jurisdiction 15 (J15) contract. This seven-year contract includes the states of Kentucky and Ohio. The J15 MAC is also responsible for Medicare Home Health and Hospice administration services 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.

As the incumbent J15 MAC, it will be business as usual with no change in CGS contact information, systems, or processes. There will be no impacts to beneficiaries and providers, no workload number changes, and no system changes that would require payment floor releases or transition related dark days. CGS will continue working with our system maintainers as we currently do today.

CGS looks forward to continuing to serve all our key stakeholders and the Medicare Program through J15. Should there be any questions, please feel free to reach out to our J15 Implementation team at [email protected].