CMS awards Company's National Government Services subsidiary Medicare
Administrative Contract for New York and Connecticut
INDIANAPOLIS, May 5 /PRNewswire-FirstCall/ -- WellPoint, Inc. (NYSE: WLP) announced today that its National Government Services, Inc., subsidiary was selected by the Centers for Medicare & Medicaid Services to administer the Medicare Administrative Contract (MAC) for Jurisdiction 13, which includes the states of New York and Connecticut.
National Government Services will perform key Medicare administrative functions for its contracts with hospitals, skilled nursing facilities and physicians, including: Appeals, Audit and Reimbursement, Claims Processing, Medical Review and Local Coverage Determinations. It will also complete unique requirements for Medicare's contracts in these two states, including: Coordinated Care Benefits Demonstration, Rural Health Clinics, Federally Qualified Health Centers and Low Vision Demonstration.
"This contract represents CMS' confidence in our ability to deliver excellent service and value to our federal government partners," said Sandy Miller, senior vice president of WellPoint's Federal Government Solutions business. "The Jurisdiction 13 contract is the first for Medicare Part A and B services awarded to National Government Services under new federal guidelines. We are committed to serving CMS as a trusted partner, and we're looking forward to competing for and winning additional contracts in the coming months."
The contract consists of one base year and four one-year options, and
is worth up to $323 million over the five-year period. This MAC contract
applies to Part A and Part B sections of Medicare, which include hospitals,
skilled nursing facilities (Part A) and physicians (Part B). National
Government Services will partner with MedUS Services (formerly known as
HealthNow), the Upstate New York Part B incumbent, for the administration
of this contract. MedUS Ser
|SOURCE WellPoint, Inc.|
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