Maximus wins pair of Medicare Part D appeals contracts

The Health and Human Services Department has enlisted Maximus Inc. to conduct appeals for the Medicare prescription drug coverage program.

Terms of two task orders awarded by the department call for Maximus of Reston, Va., to assume control of all appeals made on President Bush's new Medicare prescription drug coverage plan in both the Eastern and Western United States. The contracts are worth $39.2 million over three years.

Under the newly instituted Quality Independent Contractor program, Maximus also will perform appeals of traditional Medicare fee-for-service claim denials, covering all Fiscal Intermediary (Medicare Part A) denials for the Eastern United States.

Maximus also conducts standard and expedited reconsiderations under the Medicare Advantage program and serves as the reconsideration contractor for the Medicare Prescription Drug Discount Card Program. In addition, the company operates the Office of Personnel Management Federal Employee Health Benefits appeal project, as well as 30 state appeal programs.

Maximus, a provider of program management, consulting and IT services has more than 5,100 employees and annual sales of $603.8 million.

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