The Centers for Medicare & Medicaid Services (CMS) has announced the names of the suppliers that have been awarded contracts to provide Off-The-Shelf (OTS) Knee Braces and OTS Back Braces to Medicare beneficiaries in Round 2021 competitive bidding areas (CBAs). For a current, comprehensive list of contract supplier locations in each CBA, see the Supplier Directory below.
Contract suppliers are expected to fulfill the obligations of their contracts for the duration of the contract period of performance. For additional information, please see the Contract Supplier Obligations, Monitoring, and Education fact sheet. Starting January 1, 2021, beneficiaries with Original Medicare who obtain competitively bid items in these CBAs must obtain these items from a Round 2021 contract supplier for Medicare to pay, unless an exception applies. For a list of exceptions, please see the Exemptions from the Requirement to be a Contract Supplier for Competitively Bid Items and Services fact sheet.
Below are links to additional fact sheets and resources such as contract update requests, subcontracting disclosure requirements, and payment policies.
CBLs are available to answer questions, resolve potential problems, provide technical support on the competitive bidding process, and attend or provide educational materials for workshops and meetings.
Frequently asked Connexion questions and answers on how to use the program’s secure portal.
A report listing contract offers by CBA and product category.
Frequently asked questions and answers regarding payment policies.
Contract suppliers are responsible for fulfilling all terms of their contracts, starting on the very first day of the contract period, for the duration of the contract period of performance.
Instructions on how to request changes to contracts.
Medicare enrolled DMEPOS suppliers, including DMEPOS Competitive Bidding Program contract suppliers, must meet the DMEPOS quality standards.
Medicare enrolled DMEPOS suppliers, including DMEPOS Competitive Bidding Program contract suppliers, must meet the DMEPOS supplier standards.
CMS would like to share some reminders and information to assist suppliers in the event of an emergency or disaster.
Non-contract suppliers are not eligible for Medicare Part B payment for furnishing competitively bid items in a CBA unless one or more exemptions apply.
This fact sheet is for DMEPOS suppliers and all provider types who order, refer, or provide DMEPOS items to their patients.
Links to payment policies and procedures, and fact sheets such as traveling beneficiary.
This fact sheet is for all provider types who order or refer DMEPOS items to their patients.
Resources to find information and answers to questions. Updated on 11/17/2022 to include information on the National Provider Enrollment Eastern Region (NPEAST) and the National Provider Enrollment Western Region (NPWEST) Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) contractors.
The SPAs for the Healthcare Common Procedure Coding System (HCPCS) codes included in Round 2021 of the DMEPOS CBP.
Requirements for subcontracting relationships.
A glossary of key terms under the DMEPOS Competitive Bidding Program. Updated on 11/17/2022 to include information on the National Provider Enrollment Eastern Region (NPEAST) and the National Provider Enrollment Western Region (NPWEST) Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) contractors.