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Educational Information

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PDF 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
PDF 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
PDF 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
PDF Supplier Marketing Guidelines (PDF, PDF - 172 KB)
All of the existing rules and regulations regarding marketing DMEPOS to beneficiaries under the fee-for-service program also apply to DMEPOS contract suppliers under competitive bidding.
09/08/2016
PDF Tips for Serving Qualified Medicare Beneficiaries (PDF, PDF - 318 KB)
Individuals dually eligible for Medicare and Medicaid make up approximately 19.4% of the Medicare population, yet this population is responsible for 34% of total Medicare expenditures. We anticipate that you will be serving dually eligible beneficiaries in your area.
04/28/2016
PDF 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
Traveling Beneficiary Fact SheetOpen in New Window
This fact sheet is designed to provide education to Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers that provide items to Medicare beneficiaries who reside in or travel to competitive bidding areas. It includes information on how to determine whether a beneficiary is in a traveling status, how to properly bill Medicare for the item, and how Medicare will determine the payment amount.
11/30/2017
PDF 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
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last updated on 09/13/2018

 

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