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Please review the information below that is currently posted on Highmark's website. Northern Va ( counties specified below) is part of the J12 jurisdiction which has been awarded to Highmark to administer. Therapists practicing in Northern Va have likely already received paperwork from Highmark. Previously it was published that all of VA would be considered within the J11 jurisdication. This MAC has not yet been assigned.
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Communications Specific to our PA/MD/DC Part A Providers
Your scheduled J12 implementation date is August 1, 2008. As your current Fiscal Intermediary, we do not anticipate any problems during the transition to the MAC environment.
Provider Impacts for MD/DCMA/DE Part B Providers
Your scheduled J12 implementation date is July 11, 2008. Any information regarding your specific transition will be communicated on this webpage.
Special Note for DCMA Providers: The DCMA Part B providers and workload, including the northern Virginia area, will be transitioned in its entirety to Highmark Medicare Services (HMS) as part of the J12 Medicare Administrative Contractor (MAC) workload implementation. The District of Columbia Metropolitan Area (DCMA) is defined as the District of Columbia, Prince Georges (MD) County, Montgomery (MD) County, Arlington (VA) County, Fairfax (VA) County, and the City of Alexandria (VA). The CMS Contracting Officer for the MAC J12 Contract has confirmed the DCMA transition and workload implementation plan as part of the Statement of Work. HMS is scheduled to commence the administration of the Part B Maryland, Delaware, and District of Columbia Metropolitan Area workload on July 11, 2008.
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