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Noridian Awarded CMS DME Jurisdiction A Contract

Dec 18, 2015|,

Noridian has been awarded the Durable Medical Equipment Jurisdiction A (DME JA) contract by the Centers for Medicare & Medicaid Services (CMS) of the Department of Health and Human Services, concluding a full-and-open competitive procurement, and nearly doubling Noridian’s current DME workload. NHIC Corp. currently administers this contract.

“The award recognizes Noridian’s strong performance as a Medicare administrative contractor (MAC) and our ability to successfully transition workload and provide strong, consistent value throughout the contract term,” said Tom McGraw, president and CEO. “This contract is a direct reflection of the great work our staff does each day.”

Under the DME JA contract, Noridian will administer Medicare claims from suppliers of DME, prosthetics and orthotic supplies in 12 states: Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont. DME JA accounts for approximately 18 percent of the national Medicare DME claims volume. The contract period for the new award includes a base year and four one-year renewal option years, with a total value of more than $90.9 million.

Beginning with a single Medicare contract in 1966 serving Medicare beneficiaries only in North Dakota, today Noridian serves 12.4 million beneficiaries and 300,000 health care providers nationally. In addition to the newly awarded JA contract, Noridian holds four other MAC contracts including the DME Jurisdiction D contract, the two Medicare Part A/Part B contracts for Jurisdictions E and F, and the national Pricing, Data Analysis and Coding contract. The company currently employs more than 1,700 individuals across the United States.