Federally Qualified Health Centers: Who Is Your MAC?

Published 07/22/2025

Who is your Medicare Administrative Contractor (MAC)? Federally Qualified Health Centers (FQHCs) are located throughout our nation. In some cases, the A/B MAC may be different for FQHC claims. Palmetto GBA encourages you to develop best practices to ensure that your internal and external billers are submitting claims to the appropriate MAC. 

Palmetto GBA

Jurisdiction J (JJ): Alabama, Georgia and Tennessee
Jurisdiction M (JMA): North Carolina, South Carolina, Virginia and West Virgina 

Important Facts

  • Palmetto GBA services 1,754 FQHCs 
     
  • FQHCs located in states other than the above fall under the jurisdiction of other MACs
     
  • New FQHCs will be under the A/B MAC assigned to their state
     
  • Out of jurisdiction providers (OJPs) may have Palmetto GBA as their A/B MAC for FQHC claims but another MAC that processes Part B claims (CMS-1500 Form)
     
  • Billed through Regions 0001 and 0002
     
  • Check the Provider Enrollment Chain Ownership System (PECOS) Website for additional information

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