MHS Rates : MAC
Medical Affirmative Claims (MAC) billing rates are used to recover the cost of health care services, provided by and at the Government expense, for injuries and illnesses caused by a third party. MAC includes Active Duty beneficiaries. MAC involves billing all types of liability insurance, for example:
- Homeowner's and renter's insurance
- General casualty
- Medical malpractice (by civilian providers)
- Workers compensation (for persons other than Federal employees)
Rates used for MAC billing are the same as those included in the Outpatient and Inpatient Adjusted Standardized Amounts (ASA) rate packages. However, these rates must be approved by the Office of Management and Budget and published in the Federal Register before they can be used for MAC purposes. Refer to date of service to determine which Outpatient or Inpatient rate file applies.
Outpatient MAC Rates
CY14 Outpatient rates are effective for MAC billing
CY13 Outpatient rates are effective for MAC billing
CY12 Outpatient rates are effective for MAC billing
Inpatient MAC Rates
FY14 Inpatient rates are effective for MAC billing
FY13 Inpatient rates are effective for MAC billing
For Inpatient MAC rates prior to 21 March 2011,
For questions or comments, please e-mail UBO.Helpdesk@altarum.org, or leave a message for the Helpdesk staff at 202-776-1532. Phone messages will be returned within one business day.