NOVITAS SOLUTIONS, INC.

A/B MAC JURISDICTION L

JURISDICTION H (PART A AND B) MEDICARE ADMINISTRATIVE CONTRACTOR (MAC). JH INCLUDES THE FOLLOWING STATES: ARKANSAS, COLORADO, LOUISIANA, MISSISSIPPI, NEW MEXICAO, OKLAHOMA, AND TEXAS.

A/B MAC JURISDICTION L

EOI:: EXECUTIVE ORDER 14222, IMPLEMENTING THE PRESIDENT'S "DEPARTMENT OF GOVERNMENT EFFICIENCY" COST EFFICIENCY INITIATIVE ::EOI BILATERAL MODIFICATION TO DESCOPE THE WAGE INDEX DESK REVIEWS

A/B MAC JURISDICTION L

EOI:: EXECUTIVE ORDER 14222, IMPLEMENTING THE PRESIDENT'S "DEPARTMENT OF GOVERNMENT EFFICIENCY" COST EFFICIENCY INITIATIVE ::EOI BILATERAL MODIFICATION TO DESCOPE THE WAGE INDEX DESK REVIEWS

A/B MAC JURISDICTION L

A/B MAC JURISDICTION L

FINANCIAL SERVICES SUPPORT FOR EXCHANGE FINANCIAL ACTIVITIES

JURISDICTION H (PART A AND B) MEDICARE ADMINISTRATIVE CONTRACTOR (MAC). JH INCLUDES THE FOLLOWING STATES: ARKANSAS, COLORADO, LOUISIANA, MISSISSIPPI, NEW MEXICO, OKLAHOMA, AND TEXAS.

THE CONTRACTOR SHALL PROPERLY ISSUE AND/OR REVOKE MEDICARE SUPPLIER BILLING PRIVILEGES FOR DMEPOS SUPPLIERS AND MAINTAIN SUPPLIER FILES IN PECOS THAT CONTAIN INFORMATION COLLECTED VIA THE MEDICARE ENROLLMENT APPLICATION, INTERNET-BASED PECOS, AND THE

THE CONTRACTOR SHALL PROPERLY ISSUE AND/OR REVOKE MEDICARE SUPPLIER BILLING PRIVILEGES FOR DMEPOS SUPPLIERS AND MAINTAIN SUPPLIER FILES IN PECOS THAT CONTAIN INFORMATION COLLECTED VIA THE MEDICARE ENROLLMENT APPLICATION, INTERNET-BASED PECOS, AND THE

A/B MAC JURISDICTION L

A/B MAC JURISDICTION L

EOI:: EXECUTIVE ORDER 14222, IMPLEMENTING THE PRESIDENT'S "DEPARTMENT OF GOVERNMENT EFFICIENCY" COST EFFICIENCY INITIATIVE ::EOI BILATERAL MODIFICATION TO DESCOPE THE WAGE INDEX DESK REVIEWS

JURISDICTION H (PART A AND B) MEDICARE ADMINISTRATIVE CONTRACTOR (MAC). JH INCLUDES THE FOLLOWING STATES: ARKANSAS, COLORADO, LOUISIANA, MISSISSIPPI, NEW MEXICO, OKLAHOMA, AND TEXAS.

THE CONTRACTOR SHALL PROPERLY ISSUE AND/OR REVOKE MEDICARE SUPPLIER BILLING PRIVILEGES FOR DMEPOS SUPPLIERS AND MAINTAIN SUPPLIER FILES IN PECOS THAT CONTAIN INFORMATION COLLECTED VIA THE MEDICARE ENROLLMENT APPLICATION, INTERNET-BASED PECOS, AND THE

JURISDICTION H (PART A AND B) MEDICARE ADMINISTRATIVE CONTRACTOR (MAC). JH INCLUDES THE FOLLOWING STATES: ARKANSAS, COLORADO, LOUISIANA, MISSISSIPPI, NEW MEXICO, OKLAHOMA, AND TEXAS.

JURISDICTION H (PART A AND B) MEDICARE ADMINISTRATIVE CONTRACTOR (MAC). JH INCLUDES THE FOLLOWING STATES: ARKANSAS, COLORADO, LOUISIANA, MISSISSIPPI, NEW MEXICO, OKLAHOMA, AND TEXAS.

JURISDICTION H (PART A AND B) MEDICARE ADMINISTRATIVE CONTRACTOR (MAC). JH INCLUDES THE FOLLOWING STATES: ARKANSAS, COLORADO, LOUISIANA, MISSISSIPPI, NEW MEXICO, OKLAHOMA, AND TEXAS.

JURISDICTION H (PART A AND B) MEDICARE ADMINISTRATIVE CONTRACTOR (MAC). JH INCLUDES THE FOLLOWING STATES: ARKANSAS, COLORADO, LOUISIANA, MISSISSIPPI, NEW MEXICO, OKLAHOMA, AND TEXAS.

THE CONTRACTOR SHALL PROPERLY ISSUE AND/OR REVOKE MEDICARE SUPPLIER BILLING PRIVILEGES FOR DMEPOS SUPPLIERS AND MAINTAIN SUPPLIER FILES IN PECOS THAT CONTAIN INFORMATION COLLECTED VIA THE MEDICARE ENROLLMENT APPLICATION, INTERNET-BASED PECOS, AND THE

A/B MAC JURISDICTION L

THE PURPOSE OF THIS MODIFICATION IS TO DEFINITIZE THE CHANGE ORDER ISSUED UNDER MODIFICATION P00065, WHICH WAS IMPLEMENTED TO FULFILL THE REQUIREMENTS OF DRAFT CHANGE REQUEST (CR) 13713, ENTITLED "OPERATIONALIZATION OF THE MEDICARE ADMINISTRATIV

JURISDICTION H (PART A AND B) MEDICARE ADMINISTRATIVE CONTRACTOR (MAC). JH INCLUDES THE FOLLOWING STATES: ARKANSAS, COLORADO, LOUISIANA, MISSISSIPPI, NEW MEXICO, OKLAHOMA, AND TEXAS.

THE PURPOSE OF THIS MODIFICATION IS TO ADJUST THE COMPLEMENTARY CREDITS FOR OPTION YEAR 2 AND DE-OBLIGATE THE TOTAL AMOUNT OF $989,348 FROM SLIN 0004AA.

THE PURPOSE OF THIS MODIFICATION IS TO IMPLEMENT THE DRAFT CHANGE REQUEST (CR) 13801, ENTITLED "REQUIREMENTS FOR THE CHANGES TO THE REVIEW TIMEFRAMES DURING THE PRIOR AUTHORIZATION (PA) PROCESS IN THE HOSPITAL OUTPATIENT DEPARTMENT (OPD) SETTING

JURISDICTION H (PART A AND B) MEDICARE ADMINISTRATIVE CONTRACTOR (MAC). JH INCLUDES THE FOLLOWING STATES: ARKANSAS, COLORADO, LOUISIANA, MISSISSIPPI, NEW MEXICO, OKLAHOMA, AND TEXAS.

THE PURPOSE OF THIS MODIFICATION IS TO ISSUE A UNILATERAL CHANGE ORDER FOR JURISDICTION L (JL) TO IMPLEMENT THE REQUIREMENTS OF DRAFT CHANGE REQUEST (CR) 13713, OPERATIONALIZATION OF THE MEDICARE ADMINISTRATIVE CONTRACTORS' (MACS') ROLE IN

THE CONTRACTOR SHALL PROPERLY ISSUE AND/OR REVOKE MEDICARE SUPPLIER BILLING PRIVILEGES FOR DMEPOS SUPPLIERS AND MAINTAIN SUPPLIER FILES IN PECOS THAT CONTAIN INFORMATION COLLECTED VIA THE MEDICARE ENROLLMENT APPLICATION, INTERNET-BASED PECOS, AND THE

THE PURPOSE OF THIS MODIFICATION IS TO ADD FUNDING TO SLIN 0005AA IN THE AMOUNT OF $14,979,607.

FINANCIAL SERVICES SUPPORT FOR EXCHANGE FINANCIAL ACTIVITIES

THE PURPOSE OF THIS MODIFICATION IS TO IMPLEMENT CHANGE REQUEST (CR) 13711, TITLED "REPETITIVE, SCHEDULED NON-EMERGENT AMBULANCE TRANSPORT (RSNAT) PRIOR AUTHORIZATION (PA) MODEL OPERATIONAL CHANGES REGARDING EXPEDITED REQUESTS AND REVIEW TIMEFRA

THE PURPOSE OF THIS MODIFICATION IS TO IMPLEMENT CHANGE REQUEST (CR) 13555, TITLED "PROCESSING INSTRUCTIONS FOR SKILLED NURSING FACILITY (SNF) ATTACHMENTS ON THE FORM CMS-855A APPLICATION." AS A RESULT, THE CONTRACT VALUE AND FUNDING FOR SL

JURISDICTION H (PART A AND B) MEDICARE ADMINISTRATIVE CONTRACTOR (MAC). JH INCLUDES THE FOLLOWING STATES: ARKANSAS, COLORADO, LOUISIANA, MISSISSIPPI, NEW MEXICO, OKLAHOMA, AND TEXAS.

THE PURPOSE OF THIS MODIFICATION IS TO (1) DESCOPE OF THE ADVANCED CLINICAL EDITING (ACE) SOFTWARE FOR PROGRAM MANAGEMENT (PM) FOR JL OPTION YEARS (OY) 2, 3, 4, 5 AND 6; AND (2) DESCOPE THE MEDICARE ADMINISTRATIVE CONTRACTORS (MAC) PROVIDER INTERVENT

THE CONTRACTOR SHALL PROPERLY ISSUE AND/OR REVOKE MEDICARE SUPPLIER BILLING PRIVILEGES FOR DMEPOS SUPPLIERS AND MAINTAIN SUPPLIER FILES IN PECOS THAT CONTAIN INFORMATION COLLECTED VIA THE MEDICARE ENROLLMENT APPLICATION, INTERNET-BASED PECOS, AND THE

CMS-MAC, ADJUSTING CONTRACT VALUES AND OR DEOBLIGATING EXCESS FUNDS

JURISDICTION H (PART A AND B) MEDICARE ADMINISTRATIVE CONTRACTOR (MAC). JH INCLUDES THE FOLLOWING STATES: ARKANSAS, COLORADO, LOUISIANA, MISSISSIPPI, NEW MEXICO, OKLAHOMA, AND TEXAS.

THE PURPOSE OF THIS MODIFICATION IS TO PROVIDE FUNDING TO SLIN 0005AB FOR THE CHANGE OF REQUEST (CR) 13413, ENTITLED "INSTRUCTIONS FOR PROCESSING REQUEST FOR SSI REALIGNMENT FOR COST REPORTING PERIODS STARTING BEFORE OCTOBER 1, 2013", IN TH

THE PURPOSE OF THIS MODIFICATION IS TO EXERCISE OPTION YEAR 3 (08/01/2024 - 07/31/2025), SLINS 0005AA, 0005AB, 0005AC, CLINS 0021, 0029, 0038 AND SLIN 0040AB.

THE PURPOSE OF THIS MODIFICATION IS TO (1) ADD FUNDING TO OPTION YEAR 2 IN RESPONSE TO A NEGOTIATED REQUEST FOR EQUITABLE ADJUSTMENT (REA); AND (2) PROVIDE INCREMENTAL FUNDING FOR THE SUB-CONTRACT LINE ITEM NUMBER 0004AB, ENTITLED "MEDICARE INTE

JURISDICTION H (PART A AND B) MEDICARE ADMINISTRATIVE CONTRACTOR (MAC). JH INCLUDES THE FOLLOWING STATES: ARKANSAS, COLORADO, LOUISIANA, MISSISSIPPI, NEW MEXICO, OKLAHOMA, AND TEXAS.

JURISDICTION H (PART A AND B) MEDICARE ADMINISTRATIVE CONTRACTOR (MAC). JH INCLUDES THE FOLLOWING STATES: ARKANSAS, COLORADO, LOUISIANA, MISSISSIPPI, NEW MEXICO, OKLAHOMA, AND TEXAS.

THE CONTRACTOR SHALL PROPERLY ISSUE AND/OR REVOKE MEDICARE SUPPLIER BILLING PRIVILEGES FOR DMEPOS SUPPLIERS AND MAINTAIN SUPPLIER FILES IN PECOS THAT CONTAIN INFORMATION COLLECTED VIA THE MEDICARE ENROLLMENT APPLICATION, INTERNET-BASED PECOS, AND THE

JURISDICTION H (PART A AND B) MEDICARE ADMINISTRATIVE CONTRACTOR (MAC). JH INCLUDES THE FOLLOWING STATES: ARKANSAS, COLORADO, LOUISIANA, MISSISSIPPI, NEW MEXICO, OKLAHOMA, AND TEXAS.

JURISDICTION H (PART A AND B) MEDICARE ADMINISTRATIVE CONTRACTOR (MAC). JH INCLUDES THE FOLLOWING STATES: ARKANSAS, COLORADO, LOUISIANA, MISSISSIPPI, NEW MEXICO, OKLAHOMA, AND TEXAS.

A/B MAC JURISDICTION L

FINANCIAL SERVICES SUPPORT FOR EXCHANGE FINANCIAL ACTIVITIES

JURISDICTION H (PART A AND B) MEDICARE ADMINISTRATIVE CONTRACTOR (MAC). JH INCLUDES THE FOLLOWING STATES: ARKANSAS, COLORADO, LOUISIANA, MISSISSIPPI, NEW MEXICO, OKLAHOMA, AND TEXAS.