On October 24, 2007, the Centers for Medicare and Medicaid Services (CMS) announced that Highmark Medicare Services was awarded the Jurisdiction 12 (J12) Medicare contract to provide the Medicare Fee-for-Services Part A and Part B administrative services for the states of Pennsylvania (PA), Maryland (MD), New Jersey (NJ), Delaware (DE) and the District of Columbia (DC).

The award is part of a Congressional requirement to replace all current Medicare Part A and B contracts with new contract entities called Medicare Administrative Contractors (MACs). As a MAC, Highmark Medicare Services 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 J12 region. The new single contract replaces the existing seven contracts. On March 5, 2008, CMS directed Highmark Medicare Services to commence MAC transition activities.  All workloads will be transitioned into the J12 MAC by mid-December of 2008.

Highmark Medicare Services has offices in Camp Hill, Pittsburgh, Williamsport, and Fort Washington, PA, and Hunt Valley, MD.

We have administered Medicare contracts and been a valued partner with the Centers for Medicare and Medicaid Services (CMS) in the Medicare Program, serving as both a carrier and an intermediary since the Program's inception in 1966, and now serving as a MAC.

Highmark Medicare Services is under the direction of Patrick Kiley, President, with David Vaughan as the Project Manager for the J12 MAC.