The contract period for Round 2 and the national mail-order competition ended on June 30, 2016. The content for Round 2 and the national mail-order competition appears as it did at the completion of the Round 2 and the national mail-order competition contract period. The information has been archived for historical purposes only. For the most accurate, up-to-date information on the competitive bidding program, please refer to the
The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) required the competition for Round 2 to occur in 2011 in 70 metropolitan statistical areas (MSAs) and authorized competition for national mail-order items and services after 2010. The Affordable Care Act of 2010 expanded the number of Round 2 MSAs from 70 to 91 areas. MIPPA allows for the subdivision of MSAs with populations over 8 million into multiple competitive bidding areas (CBAs). Most Round 2 MSAs have only one CBA. However, the three largest MSAs (Chicago, Los Angeles, and New York) are subdivided into multiple CBAs, so a total of 100 CBAs are in Round 2. Round 2 includes eight product categories. The Centers for Medicare & Medicaid Services (CMS) also conducted a national mail-order competition for diabetic testing supplies at the same time as the Round 2 competition. The national mail-order CBA includes all parts of the United States, including the 50 states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, Guam, and American Samoa. CMS is required by law to recompete contracts under the DMEPOS Competitive Bidding Program at least once every three years. Round 2 and national mail-order contracts and prices became effective on July 1, 2013, and will expire on June 30, 2016.