Welcome to NHIC, Corp. Medicare Services

NHIC, Corp., an ISO 9001:2000 Certified Quality Management System is the Medicare Part B contractor for Maine, Massachusetts, New Hampshire, and Vermont, serving 1.3 million beneficiaries and 52,000 healthcare providers.

NHIC also provides its services to 7.7 million Medicare beneficiaries and 24,000 suppliers of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) in DME MAC Jurisdiction A which includes Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont.

CMS SELECTS NHIC TO ADMINISTER MEDICARE CLAIMS PAYMENT IN MAINE, MASSACHUSETTS, NEW HAMPSHIRE, RHODE ISLAND AND VERMONT - Reference to CMS Press Release

On November 19, 2008, the Centers for Medicare and Medicaid Services (CMS) announced that NHIC, Corp. was awarded the Jurisdiction 14 (J14) Medicare contract to provide the Medicare Fee-for-Services Part A and Part B administrative services for the states of Maine (ME), Massachusetts (MA), New Hampshire (NH), Rhode Island (RI) and Vermont (VT). J14 also includes the Regional Home Health and Hospice Intermediary (RHHI) workload in Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island and Vermont.

The award is part of the Medicare Modernization Act of 2003 (MMA) requiring the replacement of all current Medicare Part A and B contracts with new contract entities called Medicare Administrative Contractors (MACs). As a MAC, NHIC, Corp. will serve as a single point-of-contact entity processing Medicare Part A and B claims from hospitals and other institutional providers, physicians, and other practitioners within the J14 region. NHIC’s J14 MAC team includes National Government Services, Inc. as a subcontractor bringing institutional provider payment and home health claims processing support and expertise.

Implementation activities are now underway and we will assume full responsibility for the claims processing work in the jurisdiction during 2009. Our top priority is to ensure a smooth transition with minimal disruptions to health care providers. Over the next several months, NHIC will work closely with our team and outgoing contractors to ensure a smooth transition. A comprehensive communications plan to inform Medicare stakeholders of the latest implementation news and activities is underway.