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Fact Sheets


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.
05/07/2019
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.
05/07/2019
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.
05/07/2019
DMEPOS Quality Standards
Medicare enrolled DMEPOS suppliers, including DMEPOS Competitive Bidding Program contract suppliers, must meet the DMEPOS quality standards.
05/07/2019
DMEPOS Supplier Standards
Medicare enrolled DMEPOS suppliers, including DMEPOS Competitive Bidding Program contract suppliers, must meet the DMEPOS supplier standards.
05/07/2019
Eligibility Requirements Fact Sheet
A bidder must meet certain eligibility requirements before it can be awarded a contract under the DMEPOS Competitive Bidding Program.
05/07/2019
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.
05/07/2019
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.
05/07/2019
Grandfathering for 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.
05/07/2019
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.
05/07/2019
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.
05/07/2019
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.
05/07/2019
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.
05/07/2019
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.
05/07/2019
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.
05/07/2019
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.
05/07/2019
Terms and Definitions
A glossary of key terms under the DMEPOS Competitive Bidding Program.
05/07/2019
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.
05/07/2019
Bid Surety Bonds Fact Sheet
Information for bidders and authorized sureties regarding the bid surety bond requirement.
03/07/2019
Lead Item Pricing Fact Sheet
Information on the lead item pricing methodology.
03/07/2019
Licensure for Bidders Fact Sheet
Bidders must meet all applicable state licensing requirements for every item in the product category.
03/07/2019
Process for Reviewing Covered Documents Fact Sheet
Information about the process that allows bidders to be notified of any missing financial documents.
03/07/2019
Required Financial Documents Fact Sheet
Information on the required financial documents that each bidder must upload in Connexion.
03/07/2019
What's New Fact Sheet
Round 2021 includes the following changes to the program.
03/07/2019

last updated on 05/07/2019

 

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