Time to Submit Your Form C Semi-Annual Report

Your Form C semi-annual report is due for submission in Connexion, the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program’s (CBP) secure portal. Form C is used to update the Supplier Directory on the Medicare website with the products you plan to provide during the next six-month period.

As stated in your DMEPOS CBP Round 2021 Contract, Form C is due no later than 10 business days after each of the following dates: January 1 and July 1, throughout the entire contract performance period. You must complete Form C in Connexion no later than July 18, 2022, at 11:59:59 p.m. prevailing Eastern Time, for every competitive bidding area (CBA) and product category combination included in your contract.

Prior to submitting the required semi-annual report, review the Supplier Directory on the Medicare website to determine whether your information is current. Contract supplier information can be updated in the Provider Enrollment, Chain, and Ownership System (PECOS) and must remain current so claims can be properly processed and beneficiaries can contact you to obtain items and services. You must submit updates in PECOS so that any outdated information can be replaced with current information in the Medicare Supplier Directory. A Change of Information Guide is available on the National Supplier Clearinghouse (NSC) website to assist you.

If you have any questions, please call the Competitive Bidding Implementation Contractor (CBIC) customer service center at 877-577-5331 between 9 a.m. and 5:30 p.m. prevailing Eastern Time, Monday through Friday, or email cbic.admin@palmettogba.com.