National revenue-cycle coverage
National RCM Scale. Local Payer Precision.
Revenue cycle management configured around Medicare contractor jurisdictions, state Medicaid programs, managed-care environments, provider enrollment, payer rules and prompt-pay protections across the United States.
50 States + D.C.12 A/B MAC JurisdictionsState & Payer-Specific RCM Workflows
Nationwide support
One operating model. Fifty-one core payer environments.
CareMedox combines national RCM discipline with state-specific Medicare contractor awareness, Medicaid structure, provider enrollment, commercial payer context and aging strategy. The five major inhabited U.S. territories are maintained separately because they are not states and require territory-specific Medicaid and financing language.
Interactive U.S. map
Choose a state or Washington, D.C.
Tap any state to open its approved geography-specific RCM page. The complete crawlable state directory remains available immediately below the map.
CareMedox nationwide RCMState & payer intelligence across the U.S.
Tap a stateBy state
50 states + Washington, D.C.
Every page uses its own approved MAC assignment, Medicaid model, provider-enrollment system, payer environment, prompt-pay stance, distinctive RCM angle and maintenance watchpoint.
ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
Alabama
JJ · Alabama Medicaid
ACHN coordination, rural provider operations, Medicaid enrollment and JJ Medicare.Alaska
JF · Alaska Medicaid / Alaska Medical Assistance
Frontier geography, travel/off-island services, tribal coordination and JF Medicare.Arizona
JF · AHCCCS
AHCCCS managed care, APEP enrollment, authorization-heavy specialties and JF Medicare.Arkansas
JH · Arkansas Medicaid
Arkansas Medicaid plus PASSE, rural access and JH Medicare.California
JE · Medi-Cal
County-specific Medi-Cal, PAVE, CalAIM-era workflows and JE Medicare.Colorado
JH · Health First Colorado
Health First Colorado/ACC, regional entities, rural/front-range differences and JH Medicare.Connecticut
JK · HUSKY Health / Connecticut Medicaid
HUSKY managed-FFS/ASO model, CMAP enrollment and JK Medicare.Delaware
JL · Delaware Medical Assistance Program (DMAP) / Delaware Medicaid
Diamond State managed care, compact provider market and JL Medicare.District of Columbia
JL · DC Medicaid
Urban Medicaid managed care, safety-net/dual complexity and JL Medicare.Florida
JN · Florida Medicaid
SMMC managed care, high Medicare/MA exposure and JN Medicare.Georgia
JJ · Georgia Medicaid
Georgia Families, GAMMIS enrollment and JJ Medicare.Hawaii
JE · Med-QUEST / Hawaii Medicaid
QUEST Integration, island/off-island care, HOKU and JE Medicare.Idaho
JF · Idaho Medicaid
Rural/frontier access, mixed FFS/targeted managed care and JF Medicare.Illinois
J6 · Illinois Medical Assistance / HealthChoice Illinois
HealthChoice Illinois, IMPACT, 2026 FIDE SNP transition and J6 Medicare.Indiana
J8 · Indiana Health Coverage Programs (IHCP)
Multiple IHCP managed-care programs, Provider Healthcare Portal and J8 Medicare.Iowa
J5 · Iowa Medicaid
IA Health Link, IMPA, rural operations and J5 Medicare.Kansas
J5 · KanCare
KanCare MCO rules, provider enrollment and J5 Medicare.Kentucky
J15 · Kentucky Medicaid
Statewide Medicaid managed care, enrollment and J15 Medicare.Louisiana
JH · Louisiana Medicaid / Healthy Louisiana
Healthy Louisiana MCOs, authorization controls and JH Medicare.Maine
JK · MaineCare
MaineCare FFS/accountable care, Health PAS and JK Medicare.Maryland
JL · Maryland Medicaid / HealthChoice
HealthChoice, ePREP, JL Medicare and authorization/enrollment alignment.Massachusetts
JK · MassHealth
MassHealth ACO/MCO/PCC complexity, POSC and JK Medicare.Michigan
J8 · Michigan Medicaid
Medicaid Health Plans, CHAMPS and J8 Medicare.Minnesota
J6 · Minnesota Health Care Programs (MHCP) / Medical Assistance
County/population-specific MHCP managed care, MPSE/MN-ITS and J6 Medicare.Mississippi
JH · Mississippi Medicaid
MississippiCAN plus FFS, MESA and JH Medicare.Missouri
J5 · MO HealthNet
MO HealthNet managed care plus FFS, MMAC/eMOMED and J5 Medicare.Montana
JF · Montana Healthcare Programs / Montana Medicaid
Rural/frontier FFS Medicaid, MPATH and JF Medicare.Nebraska
J5 · Nebraska Medicaid / Heritage Health
Heritage Health, provider enrollment and J5 Medicare.Nevada
JE · Nevada Medicaid
Urban managed care plus FFS, Provider Web Portal and JE Medicare.New Hampshire
JK · New Hampshire Medicaid
Medicaid Care Management, MMIS and JK Medicare.New Jersey
JL · NJ FamilyCare / New Jersey Medicaid
NJ FamilyCare, NJMMIS, JL Medicare and dense multi-payer networks.New Mexico
JH · New Mexico Medicaid / Turquoise Care
Turquoise Care MCOs, rural/tribal access and JH Medicare.New York
JK · New York State Medicaid
eMedNY, segmented managed care, NYC/upstate differences and JK Medicare.North Carolina
JM · NC Medicaid
Standard/Tailored Plans, NCTracks and JM Medicare.North Dakota
JF · North Dakota Medicaid
Predominantly FFS Medicaid, rural/frontier operations and JF Medicare.Ohio
J15 · Ohio Medicaid
Next Generation Medicaid, PNM and J15 Medicare.Oklahoma
JH · SoonerCare
SoonerSelect plus residual FFS, OHCA portal and JH Medicare.Oregon
JF · Oregon Health Plan (OHP)
CCO-based Medicaid, regional network rules and JF Medicare.Pennsylvania
JL · Medical Assistance / Pennsylvania Medicaid
HealthChoices structure, PROMISe and JL Medicare.Rhode Island
JK · Rhode Island Medicaid
Managed Medicaid, compact regional market and JK Medicare.South Carolina
JM · Healthy Connections Medicaid
Healthy Connections Choices, enrollment/authorization and JM Medicare.South Dakota
JF · South Dakota Medicaid
Predominantly FFS Medicaid, rural/frontier delivery and JF Medicare.Tennessee
JJ · TennCare
TennCare managed care, authorization/appeals and JJ Medicare.Texas
JH · Texas Medicaid
STAR/STAR+PLUS, PEMS, prompt-pay controls and JH Medicare.Utah
JF · Utah Medicaid
ACO/FFS Medicaid mix, PRISM and JF Medicare.Vermont
JK · Vermont Medicaid
Global Commitment framework, provider portal and JK Medicare.Virginia
JM · Cardinal Care / Virginia Medicaid
Cardinal Care, PRSS and unusual JM/JL Northern Virginia Medicare split.Washington
JF · Apple Health (Medicaid)
Apple Health MCOs, ProviderOne, behavioral-health integration and JF Medicare.West Virginia
JM · West Virginia Medicaid
Mountain Health Trust plus FFS, Health PAS and JM Medicare.Wisconsin
J6 · Wisconsin Medicaid / ForwardHealth
ForwardHealth, geography/population-specific HMOs and J6 Medicare.Wyoming
JF · Wyoming Medicaid
Predominantly FFS Medicaid, rural/frontier operations and JF Medicare.By Medicare A/B MAC
12 A/B MAC jurisdictions, connected to the pages they affect.
MAC awareness does not replace federal Medicare rules. It keeps contractor jurisdiction and local coverage/documentation context visible inside claim review and follow-up.
Wisconsin Physicians Service Government Health Administrators (WPS)
Wellpoint Federal
Wisconsin Physicians Service Government Health Administrators (WPS)
Noridian Healthcare Solutions
Noridian Healthcare Solutions
Novitas Solutions
Palmetto GBA
Wellpoint Federal
Novitas Solutions
Palmetto GBA
Virginia is grouped with JM because most A/B uses JM; the approved Northern Virginia JL Part B split remains explicit on the Virginia page.First Coast Service Options
Medicare / MAC explainer
National Medicare rules still operate through contractor jurisdictions.
CareMedox keeps A/B, DME and Home Health/Hospice MAC assignments visible in the geography data so claim review, documentation questions and follow-up are not handled as though every contractor environment were identical.
Virginia is the approved exception that requires additional visibility: most A/B uses JM, while JL handles Part B for Arlington County, Fairfax County and the City of Alexandria.
Medicaid & prompt-pay intelligence
State Medicaid and payment rules need narrower claims than “national billing.”
Managed-care structure, plan routing, enrollment branding, authorization and prompt-pay rules can differ substantially by geography, payer, product and claim type.
Medicaid model
Each geography page states the approved Medicaid program, administering agency and operating model instead of applying one generic managed-care description.
Provider enrollment
Each page names the approved enrollment system or process and connects effective dates, affiliations, location and provider data to claim readiness.
Prompt-pay scope
CareMedox does not publish one universal numeric deadline unless the controlling payer/product/claim scope is supported by the approved current source.
U.S. territories
Open territory directory Five territory pages, maintained separately from the states.
Territorial Medicaid financing, local provider networks, off-island care and payer structures can differ materially from mainland assumptions.
AS
American Samoa
Presumed eligibility, off-island referrals, limited specialty capacity and JE Medicare.
GUGuam
Guam Medicaid/MIP, territorial enrollment, off-island care and JE Medicare.
MPNorthern Mariana Islands
CMA portal, small provider network, off-island care and JE Medicare.
PRPuerto Rico
Plan Vital, local payer structures, territory financing and JN Medicare.
VIU.S. Virgin Islands
Territorial Medicaid, small provider network, off-island care and JN Medicare.
Multi-state RCM
One practice can operate across more than one payer environment.
For multi-state groups, CareMedox can keep state Medicaid, Medicare contractor, provider-enrollment, authorization and commercial payer differences visible while preserving one reporting and operational framework across the organization.
01 Map states, locations, NPIs, payer products and MAC jurisdictions.02 Separate state-specific enrollment, Medicaid and authorization dependencies.03 Preserve common claim, posting, AR and reporting controls across the organization.
National revenue-cycle audit
Request a 30-Day RCM Audit Find the payer-specific issues behind your collections.
CareMedox can review Medicare/MAC patterns, Medicaid routing, enrollment, authorization, denials, payment posting and 60/90/120+ AR across the geographies that affect your practice.