Paul Sanchez
Novitas Solutions Inc. is an administrative services processing company that works with government-sponsored health care programs. The company has over 50 years of experience in the industry and employs over 1000 staff across the United States. Novitas holds the Jurisdiction H and Jurisdiction L Medicare Administrative Contracts, supporting the Centers for Medicare and Medicaid Services (CMS) in administering health insurance programs.
| Characteristics | Values |
|---|---|
| Type of Company | Administrative services processing company |
| Focus | Government-sponsored health care programs |
| Contracts | Jurisdiction H and Jurisdiction L Medicare Administrative Contracts, Provider Enrollment & Oversight (PEO) Indefinite-Delivery, Indefinite-Quantity (IDIQ) National Provider Enrollment Eastern Region Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (NPEAST DMEPOS) contract |
| Supported Programs | Centers for Medicare and Medicaid Services (CMS) |
| Beneficiaries | More than 8 million |
| Physicians Supported | More than 649,000 |
| Suppliers | 16,500 unique suppliers |
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What You'll Learn
- Novitas Solutions administers government-sponsored health care programs
- Novitas holds the Jurisdiction H and Jurisdiction L Medicare Administrative Contracts
- Novitas supports the Centers for Medicare and Medicaid Services (CMS)
- Novitas has over 50 years of experience in the healthcare industry
- Novitas employs over 1000 staff in Mechanicsburg, Pennsylvania
Novitas Solutions administers government-sponsored health care programs
Novitas Solutions is an administrative services company that manages government-sponsored healthcare programs. With over 50 years of experience, Novitas supports the Centers for Medicare and Medicaid Services (CMS) in administering some of the world's largest health insurance programs.
Novitas currently holds the Jurisdiction H and Jurisdiction L Medicare Administrative Contracts (MAC). Jurisdiction H covers Colorado, Oklahoma, New Mexico, Texas, Arkansas, Louisiana, Mississippi, Indian Health Service (IHS), and Veterans Affairs (VA). Jurisdiction L, on the other hand, spans Pennsylvania, New Jersey, Maryland, Delaware, and Washington, D.C.
Under these contracts, Novitas Solutions supports a vast number of beneficiaries, physicians, and suppliers. Specifically, they cater to more than eight million beneficiaries, over 649,000 physicians serving Medicare patients, and 16,500 unique suppliers.
Novitas Solutions employs a large staff to carry out its administrative responsibilities effectively. More than 1,000 staff are based in Mechanicsburg, Pa., with nearly 1,000 other associates located in field offices across the United States, including Pittsburgh, Williamsport, Dallas, Milwaukee, and Jacksonville. By leveraging the knowledge and engagement of its team members, Novitas Solutions aims to help solve the sustainability challenge of government programs.
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Novitas holds the Jurisdiction H and Jurisdiction L Medicare Administrative Contracts
Novitas Solutions, Inc. (Novitas) is a wholly-owned subsidiary of Diversified Service Options, Inc., which does business as GuideWell Source, a subsidiary of GuideWell Mutual Holding Corporation. Novitas provides administrative services and processing for government-sponsored healthcare programs on behalf of the federal government.
Novitas Solutions has been awarded the Jurisdiction H (JH) contract by the Centers for Medicare & Medicaid Services (CMS). The contract covers Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas. Novitas has held the JH contract since 2012. As the Medicare Administrative Contractor (MAC), Novitas performs administrative services and processes and pays claims for both Parts A and B of the Medicare program.
In 2021, Novitas was also awarded the Jurisdiction L (JL) contract by CMS. This contract covers Delaware, Maryland, New Jersey, Pennsylvania, and the Washington D.C. Metro Area, including several counties in Virginia and Maryland. The JL contract includes more than three million Medicare beneficiaries, over 108,000 physicians, and 506 hospitals that serve Medicare patients.
Novitas currently administers the MAC contracts for both Jurisdiction L and Jurisdiction H, spanning a total of 11 states and Washington D.C. The company's successful acquisition of these contracts demonstrates its strong performance and strategic partnership with CMS in serving the provider community and beneficiaries of the Medicare program.
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Novitas supports the Centers for Medicare and Medicaid Services (CMS)
Novitas Solutions Inc. has over 50 years of experience in the industry and supports the Centers for Medicare and Medicaid Services (CMS) in administering some of the largest health insurance programs in the world. Novitas holds the Jurisdiction H and Jurisdiction L Medicare Administrative Contracts, as well as the Provider Enrollment & Oversight (PEO) Indefinite-Delivery, Indefinite-Quantity (IDIQ) National Provider Enrollment Eastern Region Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (NPEAST DMEPOS) contract.
The company leverages its capabilities to support millions of beneficiaries, physicians serving Medicare patients, and unique suppliers. Novitas has a strong history of serving the Medicare program and its team members are committed to finding innovative ways to support CMS, providers, and beneficiaries. They achieve this by turning different data insights into action and value for their customers.
As a trusted CMS business partner, Novitas coordinates with internal and external CMS stakeholders. The company values small business subcontracting goals and strives to improve the lives of its customers. With its strong operational performance, innovative ideas, and vast knowledge of working with the government, Novitas delivers on its mission of helping solve the sustainability challenge of government programs.
Novitas' strength lies in its ability to leverage the knowledge and engagement of its team members. The company's vast knowledge and experience in the industry make it a sought-after partner for CMS support.
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Novitas has over 50 years of experience in the healthcare industry
Novitas Solutions Inc. is an administrative services processing company for government-sponsored healthcare programs. With over 50 years of experience in the healthcare industry, Novitas has become a key player in the administration of healthcare insurance programs.
The company currently holds contracts for the Medicare Administrative Contract (MAC) Jurisdiction L (JL) and Jurisdiction H (JH). These contracts cover a vast area of the United States, including states from the East Coast to the Midwest and South. With these contracts, Novitas is responsible for administering Medicare, one of the world's largest health insurance programs, to millions of beneficiaries, physicians, and suppliers.
Novitas's experience in the industry has allowed them to develop a deep understanding of the complexities of government-sponsored healthcare programs. They have a proven track record of successfully leveraging their knowledge and capabilities to support a large number of beneficiaries, physicians, and suppliers. This includes supporting the Centers for Medicare and Medicaid Services (CMS) in administering health insurance programs.
In addition to their work with Medicare, Novitas also holds the Provider Enrollment & Oversight (PEO) Indefinite-Delivery, Indefinite-Quantity (IDIQ) National Provider Enrollment Eastern Region Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (NPEAST DMEPOS) contract. This contract further showcases Novitas's expertise and ability to manage and oversee the provision of essential medical equipment and supplies.
With their extensive experience and strong contractual relationships, Novitas Solutions Inc. has established itself as a trusted and reliable partner in the administration of government-sponsored healthcare programs. Their work directly impacts the lives of millions of people across the United States by ensuring access to essential healthcare services and resources.
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Novitas employs over 1000 staff in Mechanicsburg, Pennsylvania
Novitas Solutions, Inc. is an administrative services processing company that serves government-sponsored health care programs. It holds the Jurisdiction H and Jurisdiction L Medicare Administrative Contracts and the Provider Enrollment & Oversight (PEO) Indefinite-Delivery, Indefinite-Quantity (IDIQ) National Provider Enrollment Eastern Region Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (NPEAST DMEPOS) contract. Novitas Solutions supports the Centers for Medicare and Medicaid Services (CMS) in administering health insurance programs. With over 50 years of experience, Novitas Solutions has a vast knowledge of the industry and a highly engaged team. The company employs over 1000 staff in Mechanicsburg, Pennsylvania, with additional associates in field offices in Pittsburgh and Williamsport, Pennsylvania; Dallas, Texas; Milwaukee, Wisconsin; and Jacksonville, Florida. Novitas Solutions is able to support a large number of beneficiaries, physicians, and suppliers through its extensive network and expertise. The company's mission is to help solve the sustainability challenge of government programs by leveraging the knowledge and experience of its dedicated staff.
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Frequently asked questions
Novitas Solutions Inc. is an administrative services processing company for government-sponsored health care programs.
Novitas Solutions Inc. administers the Medicare Administrative Contract (MAC) Jurisdiction L (JL) and Jurisdiction H (JH).
Novitas Solutions Inc. employs more than 1,000 staff in Mechanicsburg, Pennsylvania, with nearly 1,000 other associates located in field offices in Pittsburgh, Dallas, Milwaukee, and Jacksonville.
