Form C for the second half of 2017 is now available on the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program’s secure portal – Connexion. Log into CMS' Enterprise Portal to enter Connexion. Then select Form C under the Forms tab at the top of the page or on Your To-Do List. Form C is used to update the Supplier Directory on the Medicare website at www.Medicare.gov/supplier 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 period. You must complete Form C in Connexion no later than Monday, July 17, 2017, at 11:59:59 p.m. prevailing Eastern Time, for EVERY competitive bidding area (CBA) and product category combination included in your contract.
For more information about the semi-annual report requirement or assistance in completing the form in Connexion, please call the CBIC customer service center at 877-577-5331 between 9 a.m. and 5:30 p.m. prevailing Eastern Time, Monday through Friday.