Part A/B Medicare Administrative Contractor (MAC) Jurisdiction M (JM) RFP   4

Background
The purpose of this contract is to obtain a Part A/Part B (A/B) Medicare Administrative Contractor (hereinafter referred to as “the contractor” or “MAC” or “A/B MAC”) to provide specified health insurance benefit administration services, including Medicare claims processing and payment services, in support of the “traditional” Medicare program for Jurisdiction M. Jurisdiction M includes the states of North Carolina, South Carolina, Virginia, and West Virginia. The JM MAC is also responsible for processing Medicare Home Health and Hospice (HHH) billings in 16 states: the states of Alabama, Arkansas, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Mississippi, New Mexico, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee and Texas.

Work Details
The contract incorporates one or more clauses by reference with the same force and effect as if they were given in full text. The contract includes a Statement of Work (SOW) provided in Section J as Attachment J.01. The SOW takes precedence over the Internet Only Manuals and Paper-Based Manuals unless otherwise specified.

The contract also includes Packaging and Marking requirements for all deliverables required pursuant to the terms of the contract. Additionally, it outlines Inspection and Acceptance procedures for all work included in the contract.

Period of Performance
The period of performance for completion of all work included in this contract shall be from the effective date of contract award through 12 months, plus six one-year options.

Place of Performance
Jurisdiction M includes the states of North Carolina, South Carolina, Virginia, and West Virginia.