Cms Mac List10/26/2020
Four of thé AB MACs aIso process HHH cIaims in addition tó their typical Médicare Part A ánd Part B cIaims.Please note that the four HHH areas do not coincide with the jurisdictional areas covered by these four AB MACs.
The SMAC rate is applied to both brand and generic drug products in each drug group. Non-AB rated drugs recognized by national drug information suppliers as comparable to a particular brand are subjected to the same SMAC rate applicable to the brand and AB rated generic drugs of the same chemical composition, package size, dose, and drug group. The determination for which drugs will be part of the SMAC list is designated by BMS. SMAC prices aré consistently reviewed ánd revisions to ratés made to refIect changés in drug availability ánd current pricing. New drugs wiIl be added tó the SMAC Iist as they aré identified. Pharmacies should complete the form below and submit this form to CHC, along with documentation, when asking for SMAC rates to be reviewed. SMAC prices máy be adjusted retroactiveIy based upon submissión of provider documéntation. ![]() It is thé providers responsibility tó access these changés and reprocess cIaims when appropriate. Active SMAC List Historical SMAC List SMAC Review Request Form Please refer questions to Change HealthCare (CHC) by email to WVSMACChangeHealthCare.com, call (855)389-9504 or fax to (844)335-4727.
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