CMS is in the process of revamping the current format of contractors. They are beginning a transition from fiscal intermediaries and carriers to Medicare administrative contractors or MACs.

The current structure of 25 fiscal intermediaries and 18 carriers will be modified to 15 primary Part A and B MACs, 4 specialty MACs, and 4 MACs to manage DME suppliers. This will be achieved through a competitive process and you may be asked to give input to guide the decisions that will be made. This transition is to be complete by October 2009.

CMS is currently sending out provider satisfaction questionnaires to randomly selected Medicare providers. If you are chosen you will be notified by mail and give further instruction.

This initiative will ultimately offer one central p0int of contact to beneficiaries and providers.

Should you have any questions or comments, please contact me at angelasbrooks@....

Thanks.

Angela S. Brooks, PT

VPTA Provider Relations Specialist