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Allow Zoned Program Integrity Contractor (ZPIC) to access Durable Medical Equipment Medicare Administrative Contractor (DME MAC) by ZPIC Zone

Currently, only one Program Safeguard Contractor (PSC) can access a DME
MAC’s claims data. PSCs are transitioning to ZPICs. A ZPIC area may encompass parts of several DME
MACs. This CR will allow access to a MACs claims data by multiple PSCs and for the PSC to extract only
data that concerns claims in their service area.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: June 05, 2009

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.