|Antitrust Guidance Fact Sheet|
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.
|Bid Surety Bonds Fact Sheet|
Information for bidders and authorized sureties regarding the bid surety bond requirement.
|Common Ownership and Common Control Fact Sheet|
Suppliers are prohibited from competing against themselves when submitting bids in the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program.
|Contract Supplier Obligations, Monitoring, and Education Fact Sheet|
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 of performance.
|DMEPOS Quality Standards |
Medicare enrolled DMEPOS suppliers, including DMEPOS Competitive Bidding Program contract suppliers, must meet the DMEPOS quality standards.
|DMEPOS Supplier Standards|
Medicare enrolled DMEPOS suppliers, including DMEPOS Competitive Bidding Program contract suppliers, must meet the DMEPOS supplier standards.
|Eligibility Requirements Fact Sheet|
A bidder must meet certain eligibility requirements before it can be awarded a contract under the DMEPOS Competitive Bidding Program.
|Enteral Nutrition Fact Sheet|
With the exception of skilled nursing facilities (SNFs) and nursing facilities (NFs) that become specialty suppliers, 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 Fact Sheet|
Non-contract suppliers are not eligible for Medicare Part B payment for furnishing competitively bid items in a CBA unless one or more exemptions apply.
|Financial Scoring Methodology Fact Sheet|
Information about the financial scoring process used to evaluate a bidder’s financial health.
|Grandfathering for Non-Contract Suppliers Fact Sheet|
Suppliers that are not awarded a DMEPOS Competitive Bidding contract for furnishing oxygen and oxygen equipment or rented durable medical equipment (DME) in a CBA can decide to be grandfathered suppliers for Medicare beneficiaries to whom they are furnishing these items at the time Round 2021 is implemented. Updated on 10/10/2019 to clarify the grandfathering policy for continuous use rental items.
|Lead Item Pricing Fact Sheet|
Information on the lead item pricing methodology.
|Licensure for Bidders Fact Sheet|
Bidders must meet all applicable state licensing requirements for every item in the product category.
|Preliminary Bid Evaluation Fact Sheet|
Bidders will be provided with preliminary bid evaluation findings and an opportunity to validate any enrollment requirements not met by the close of the bid window.
|Prescription for Specific Brand or Mode of Delivery to Avoid an Adverse Medical Outcome Fact Sheet|
The 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.
|Process for Reviewing Covered Documents Fact Sheet|
Information about the process that allows bidders to be notified of any missing financial documents.
|Required Financial Documents Fact Sheet|
Information on the required financial documents that each bidder must upload in Connexion.
|Requirement to Submit a Bona Fide Bid Fact Sheet|
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 Instructions.
|Review of Bidder Capacity to Meet Projected Beneficiary Demand Fact Sheet|
Describes how CMS establishes projected beneficiary demand and awards a sufficient number of contracts to meet projected beneficiary demand.
|Skilled Nursing Facilities (SNFs) and Nursing Facilities (NFs) Fact Sheet|
SNFs and NFs are subject to the DMEPOS Competitive Bidding Program to the extent that competitively bid items and services are furnished to their residents under Medicare Part B.
|Small Supplier Considerations/Small Supplier Target Fact Sheet|
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 DMEPOS Competitive Bidding Program.
|Subcontracting of DMEPOS Services Fact Sheet|
A DMEPOS supplier is responsible for furnishing the item, billing Medicare, and coordinating the care for a beneficiary in compliance with the physician’s order and Medicare rules and guidelines. However, a DMEPOS supplier may subcontract certain services to another supplier.
|Terms and Definitions|
A glossary of key terms under the DMEPOS Competitive Bidding Program.
|Transitioning Beneficiaries Fact Sheet|
A beneficiary who is renting DME or oxygen and oxygen equipment may switch to a contract supplier at any time during Round 2021 of the DMEPOS Competitive Bidding Program.
|What's New Fact Sheet|
Round 2021 includes the following changes to the program.