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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:

  • Automobile
  • 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
as of 18 November 2014 and remain in effect until
further notice.

  • Nov 2014 Outpatient MAC Rates Announcement
  • CY13 Outpatient rates are effective for MAC billing
    as of 22 October 2013 through 17 November 2014.

  • Oct 2013 Outpatient MAC Rates Announcement
  • CY12 Outpatient rates are effective for MAC billing
    from 19 November 2012 through 21 October 2013.

  • Nov 2012 Outpatient MAC Rates Announcement
  • CY11 Outpatient rates are effective for MAC billing
    from 21 November 2011 through
    18 November 2012.

  • Nov 2011 Outpatient MAC Rates Announcement
  • For Outpatient MAC rates prior to 21 Nov 2011,
    visit the MHS Rates - MAC on the Archives page.



    Inpatient MAC Rates

    FY14 Inpatient rates are effective for MAC billing
    as of 12 June 2014 and remain in effect until
    further notice.

  • June 2014 Inpatient MAC Rates Announcement

  • FY13 Inpatient rates are effective for MAC billing
    from 11 April 2013 through 11 June 2014.

  • April 2013 Inpatient MAC Rates Announcement

  • FY11 Inpatient rates are effective for MAC billing
    from 21 March 2011 through 10 April 2013.

  • March 2011 Inpatient MAC Rates Announcement

  • For Inpatient MAC rates prior to 21 March 2011,
    visit the MHS Rates - MAC on the Archives page.








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