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Educational Information

Medicare DMEPOS Competitive Bidding Program Form C Report

Form C for the second quarter of 2014 is now available on the Competitive Bidding Implementation Contractor (CBIC) website, www.dmecompetitivebid.com. From the menu on the left side of the homepage, select the bidding round(s) for which you are a contract supplier. Then select Form C in the Top Links box.

orm C is a report that you as a contract supplier complete each quarter to update your product information for the Supplier Directory on the Medicare website. The Supplier Directory is a useful marketing tool as beneficiaries, their caregivers, and the 1-800-MEDICARE customer service representatives use this information to locate contract suppliers that furnish specific brands of products.

Completion of Form C is also a requirement under the Medicare Competitive Bidding Program contract, which requires you to report manufacturer and model information for specific Healthcare Common Procedure Coding System (HCPCS) codes that you will offer during the next calendar quarter. Failure to submit a timely Form C for all competitive bidding area (CBA)/product category combinations in your contract(s) may be considered a breach of contract and result in termination. Detailed instructions for completing and submitting Form C for each round are on the CBIC website. However, it is important to note that for this quarter, Round 2 and national mail-order contract suppliers that also have a Round 1 Recompete contract must complete a separate Form C for each round. Round 1 Recompete contract suppliers must enter all product information on their form.

You will receive an e-mail notification each quarter when it’s time to submit Form C. Form C is due no later than ten calendar days after each of the following dates: March 31; June 30; September 30; and December 31, throughout the entire contract period. Therefore, the CBIC must receive your completed Form C(s) no later than Thursday, April 10, 2014. You must complete Form C for EVERY CBA/product category combination(s) included in your contract(s).

For more information about the quarterly report requirement, 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.

last updated on 03/25/2014


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