Contract Supplier Obligations (PDF, PDF - 163 KB) 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. Here are key contract terms with which contract suppliers must comply throughout the contract period. | 04/30/2018 |
Antitrust Guidance (PDF, PDF - 188 KB) The antitrust laws protect competition and prohibit collusion. Price fixing, bid rigging, and other forms of collusion, including agreements to allocate customers or divide markets, are illegal. | 08/11/2015 |
Common Ownership and Common Control (PDF, PDF - 226 KB) Suppliers are prohibited from competing against themselves when submitting bids in the DMEPOS Competitive Bidding Program. Therefore, suppliers that are commonly owned or commonly controlled must submit one bid for the same product category in the same CBA. | 08/11/2015 |
Covered Document Review Date (PDF, PDF - 210 KB) Information about the process that allows bidders to be notified of any missing financial documents. | 08/11/2015 |
Eligibility Requirements (PDF, PDF - 191 KB) A supplier must meet certain eligibility requirements before it can submit a bid and be awarded a contract under the DMEPOS Competitive Bidding Program. | 08/11/2015 |
Enteral Nutrition (PDF, PDF - 193 KB) With the exception of SNFs and NFs that become specialty suppliers, suppliers that are contract suppliers for the enteral nutrition product category must furnish services to beneficiaries throughout the competitive bidding area (CBA), regardless of whether a beneficiary lives in a private residence or institutional setting. | 08/11/2015 |
Exemptions from the Requirement to Be a Contract Supplier for Competitively Bid Items and Services - Round 1 2017 (PDF, PDF - 201 KB) Non-contract suppliers that furnish competitively bid items in a CBA are not eligible for Medicare Part B payment for the competitively bid items for that CBA unless one or more of the exemptions listed applies. | 08/11/2015 |
Grandfathering for Oxygen and Oxygen Equipment (PDF, PDF - 191 KB) Suppliers that are not awarded a competitive bidding contract for furnishing oxygen and oxygen equipment in a CBA can decide to be grandfathered suppliers for beneficiaries to whom they are furnishing these items at the time the Competitive Bidding Program is implemented. | 08/11/2015 |
Grandfathering for Rented DME (PDF, PDF - 516 KB) Suppliers that are not awarded a competitive bidding contract for furnishing rented DME in a CBA can decide to be grandfathered suppliers for beneficiaries to whom they are furnishing these items at the time the Competitive Bidding Program is implemented. | 08/11/2015 |
Licensure for Bidding Suppliers (PDF, PDF - 152 KB) Suppliers submitting a bid for a product category in a competitive bidding area (CBA) must meet all DMEPOS state licensure requirements and other applicable state licensure requirements, if any, for that product category. | 08/11/2015 |
Preliminary Bid Evaluation (PDF, PDF - 188 KB) Information about the early notification process that provides bidders with a review of their bid's enrollment requirements and an opportunity to validate requirements not met by the close of bidding. | 08/11/2015 |
Prescription for Specific Brand or Mode of Delivery to Avoid an Adverse Medical Outcome (PDF, PDF - 160 KB) The Medicare DMEPOS Competitive Bidding Program includes a special beneficiary safeguard to ensure that beneficiaries have access to specific brands or modes of delivery of competitively bid items when needed to avoid an adverse medical outcome. | 08/11/2015 |
Required Financial Documents (PDF, PDF - 269 KB) This fact sheet contains detailed instructions about how to submit the required hardcopy financial documents. | 08/11/2015 |
Requirement to Submit a Bona Fide Bid (PDF, PDF - 233 KB) The DMEPOS Competitive Bidding Program regulations require that each bidder must submit a bona fide bid that complies with all the terms and conditions specified in the Request for Bids (RFB). | 08/11/2015 |
Review of Supplier Capacity and Expansion Plans (PDF, PDF - 206 KB) This fact sheet describes how CMS conducts its review of supplier capacity and expansion plans during the bid evaluation process. | 08/11/2015 |
Skilled Nursing Facilities (SNFs) and Nursing Facilities (NFs) (PDF, PDF - 191 KB) Skilled Nursing Facilities (SNFs) and Nursing Facilities (NFs) are subject to the Medicare DMEPOS Competitive Bidding Program to the extend that competitively bid items and services are furnished to their residents under Medicare Part B. | 08/11/2015 |
Small Supplier Considerations/ Small Supplier Target (PDF, PDF - 237 KB) The Social Security Act mandates that appropriate steps be taken to ensure that small suppliers have an opportunity to be considered for participation in the Medicare DMEPOS Competitive Bidding Program. | 08/11/2015 |
Subcontracting of DMEPOS Services - Round 1 2017 (PDF, PDF - 197 KB) The "primary supplier" of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) is the Medicare-enrolled DMEPOS supplier that furnishes the items and bills Medicare for reimbursement. | 08/11/2015 |
Transitioning Beneficiaries (PDF, PDF - 175 KB) A beneficiary who is renting durable medical equipment or oxygen equipment may switch to a contract supplier at any time during the Competitive Bidding Program contract period. | 08/11/2015 |
What's New (PDF, PDF - 210 KB) On April 21, 2015, CMS announced plans to recompete the contracts for Round 1 Recompete. CMS has incorporated the following changes to the program. | 08/11/2015 |