| 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.
| Change of Ownership (CHOW) Fact Sheet (PDF, PDF - 134 KB)|
A DMEPOS supplier participating in the competitive bidding program that is negotiating a change of ownership (CHOW) must notify CMS 60 days before the anticipated date of the change. This fact sheet explains how to notify CMS, the process for transferring a contract, and the requirements to effectuate the transfer.
| 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.
| Competitive Bidding Areas (CBAs) (PDF, PDF - 233 KB)|
Fact sheet about the 13 CBAs included in Round 1 2017.
| 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.
| Covered Document Review Date (PDF, PDF - 210 KB)|
Information about the process that allows bidders to be notified of any missing financial documents.
|DMEPOS Quality Standards|
Medicare enrolled DMEPOS suppliers, including DMEPOS Competitive Bidding Program contract suppliers, must meet the DMEPOS quality standards.
| 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.
| Emergency & Disaster Fact Sheet (PDF, PDF - 203 KB)|
The Centers for Medicare & Medicaid Services (CMS) would like to share some reminders and information to assist suppliers in the event of an emergency or disaster.
| 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.
| 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.
| 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.
| 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.
|Grandfathering Requirements for Non-Contract Suppliers Fact Sheet|
Non-contract suppliers that furnish competitively bid rented DME or oxygen and oxygen equipment to beneficiaries in CBAs must: (1) decide if they will elect to become grandfathered suppliers, (2) notify beneficiaries of their grandfathering decisions, and (3) fulfill other requirements as described in this fact sheet...
|Hospitals That Are Not Contract Suppliers|
For the first phase of competitive bidding, one exception allows hospitals to furnish competitively bid walkers in a CBA to their own patients without submitting a bid and being selected as a contract supplier.
| Items and Services (PDF, PDF - 223 KB)|
Fact sheet about the 8 categories of competitively bid items and services included in Round 1 2017.
| 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.
| Licensure for Contract Suppliers (PDF, PDF - 211 KB)|
As a contract supplier for the Medicare DMEPOS Competitive Bidding Program, you must comply with all applicable state and local laws. This includes maintaining compliance with all applicable state and local licensing requirements pertaining to functions under your contract throughout the duration of the contract period.
|Physicians and Other Treating Practitioners Who Are Enrolled as Medicare DMEPOS Suppliers|
Physicians and other treating practitioners who are enrolled as Medicare DMEPOS suppliers may furnish certain competitively bid items in a CBA to their own patients without submitting a bid and being selected as a contract supplier if specific requirements are met.
| 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.
| 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.
|Repairs and Replacements|
This fact sheet contains important information about repairs and replacements of beneficiary-owned equipment under the DMEPOS Competitive Bidding Program.
| Required Financial Documents (PDF, PDF - 269 KB)|
This fact sheet contains detailed instructions about how to submit the required hardcopy financial documents.
| 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).
| 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.
| 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.
| 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.
| 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.
| 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.
| 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.
| 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.
|Traveling Beneficiary Fact Sheet|
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.
| 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.