Time to Submit Your Form C Semi-Annual Report

Your semi-annual Form C report for the second reporting period is now available on your My To-Do List 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 Competitive Bidding contract, the form is due no later than ten business days after each of the following dates: June 30 and December 31, throughout the entire contract performance period. You must complete Form C in Connexion no later than July 15, 2021, at 11:59:59 p.m. prevailing Eastern Time, for every competitive bidding area (CBA) and product category combination included in your contract.

Please do not reply to this message. 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.

eChat is available. eChat is unavailable.

Updated: 06/30/2021