Close Window [x]

Enter a ZIP code and click the OK button:


- OR -

Select a state, then a round:

1. Select a State

2. Select a Round

3. Select the CBA

Close Window [x]
  • CBIC Site
  • Round 1 2017
  • Round 1 Rebid
  • Round 1 Recompete
  • Round 2 Recompete
  • Round 2
Round 1 Rebid

Stay Connected
Keep up with the latest information about the DMEPOS Competitive Bidding Program by taking advantage of the Internet's connectivity.
email updates
contact us
DMEPOS Referral Agent
Bookmark E-mail PDF Print
Contract Suppliers
This form is no longer available for the Round 1 Rebid.
The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) requires contract suppliers to disclose to CMS information regarding their subcontracting relationships. This information must be provided within 10 business days after final contract execution. For subcontracting arrangements entered into after contract award, contract suppliers must provide the required information no later than 10 business days after the date the contract supplier enters into a subcontracting arrangement.
The Supplier Standards limit Medicare-enrolled suppliers’ subcontracting arrangements to:
1) purchase of inventory;
2) delivery and instruction on the use of Medicare-covered items; and
3) maintenance and repair of rented equipment.
Services such as intake and assessment, coordination of care with the physician, submitting claims on behalf of the beneficiary, ownership and responsibility of equipment furnished to the beneficiary, and ensuring product safety must be provided by the contract supplier.

Contract suppliers must identify the name of the subcontractor, the address of the particular location that will perform the subcontracting service (corporate headquarters' addresses are not acceptable), the services to be provided by the subcontractor, and whether the subcontractor is accredited, as applicable. For your convenience, we have provided a sample subcontractor disclosure form. Please submit the required information to the Competitive Bidding Implementation Contractor (CBIC) as directed on the sample form.
(You will need Adobe Acrobat Reader to view or print items on this page.)

PDF Subcontracting (PDF, 139 KB)
The primary supplier is responsible for the overall service of furnishing the item and coordinating the care for the beneficiary in compliance with the physician’s order and Medicare rules and guidelines, but the primary supplier may subcontract certain services...

last updated on 12/13/2013


ver 2.0

Live chat by SightMax