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Contract Suppliers

Who must request and sign the change of location or change of information form to update a contract?


12/15/2016
If a supplier purchases 5 percent or greater of the stock of a contract supplier (seller), can the purchasing supplier add its location(s) to the seller’s contract?


05/22/2014
If a contract supplier is negotiating a change of ownership (CHOW) with a supplier that chooses to become a grandfathered supplier, can the contract supplier continue to serve those grandfathered beneficiaries after the CHOW transaction is effective? If yes, will CMS make additional payments for the grandfathered items?


01/24/2014
If a contract supplier is involved in a change of ownership (CHOW) with a supplier that chose to become a grandfathered supplier, can the contract supplier continue to serve those grandfathered beneficiaries after the CHOW transaction is effective? If yes, will CMS make additional payments for the grandfathered items?


04/02/2013
I am a non-contract supplier. If I buy or merge with a contract supplier, will CMS pay for contract items I furnish after the effective date of the change of ownership (CHOW) but before the date CMS signs the novation agreement?


04/01/2013
I am a supplier and want to buy or merge with a DMEPOS competitive bidding contract supplier. Can I make the change of ownership (CHOW) contingent upon CMS’ approval of a novation agreement?


04/01/2013
Who must request and sign the change of location or change of information form to update a contract?


12/15/2016
Can a Contract Supplier refuse to furnish competitively bid items to beneficiaries within a competitive bidding area (CBA) once it has met the estimated capacity provided on its bid?


11/26/2013
As the primary supplier, I understand that I am responsible for submitting claims on behalf of the Medicare beneficiary. Does this mean I cannot use a billing agent?


04/01/2013
I hear that Medicare will soon begin denying claims for DMEPOS items and services that are referred by physicians and treating practitioners who are not enrolled with Medicare in PECOS. Are competitive bidding contract suppliers required to furnish DMEPOS items and services in their contracts to any Medicare beneficiary residing in a competitive bidding area, regardless of whether the prescribing physician or eligible treating professional is enrolled with Medicare?


04/01/2013
Can suppliers charge QMBs, including QMB Plus beneficiaries, for Medicare cost-sharing under the competitive bidding program?


04/02/2014
How can suppliers identify what type of dual eligible beneficiary they are dealing with?


04/02/2014
How will suppliers be reimbursed for Medicare cost-sharing for QMB and QMB Plus beneficiaries?


04/02/2014
What are the different types of dual eligible beneficiaries, and what does Medicaid pay for durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) for each type?


04/02/2014
Where can I find more information about dual eligible beneficiaries?


04/02/2014
Do I need to sign each page of Form C?


05/22/2014
I am purchasing a contract supplier’s business. Who should submit Form C?


05/22/2014
What happens if I submit my corrections/additions after the deadline for this quarter?


05/22/2014
Where can I find my contract number?


05/22/2014
I have already submitted my form, but I need to make a correction and/or an addition to it. What do I do?


05/21/2014
How long do I have to submit corrections/additions?


05/20/2014
Can the signature from a company official be a stamp or do you require a hand-written signature?


04/01/2013
How do I report the model and manufacturer for an enteral feeding supply kit?


04/01/2013
How do I save data on the form?


04/01/2013
I don't see my product's model on the list of choices. How can I have it added to the list?


04/01/2013
Should I fax the form or mail it?


04/01/2013
Can the form be mailed to the CBIC on the due date, or do I have to send it in time for the CBIC to get it by the due date?


09/28/2011
What happens if I send the form in late?


09/28/2011
How can I find out if the CBIC has received my form? Will I be notified?


09/28/2011
When can I expect my updated product information to be reflected on the Medicare Supplier Directory?


09/28/2011
Are competitively bid capped rental items subject to the payment reduction after the 3rd month rental?


05/16/2013
Can a supplier choose to grandfather certain beneficiaries and not others?


05/16/2013
If a beneficiary has been renting a competitively bid durable medical equipment (DME) item from a supplier that does not become a contract supplier and chooses to switch to a contract supplier at the start of a competitive bidding program, what month should the new contract supplier start billing? When can the non-contract supplier pick up its equipment?


05/16/2013
If a beneficiary who is receiving capped rental durable medical equipment (DME) or oxygen prior to the start of the competitive bidding program moves from a non-competitive bidding area to a competitive bidding area (CBA), is a contract supplier eligible to start a new capped rental period or entitled to receive additional payments for oxygen?


05/16/2013
What will contract suppliers be paid when they furnish oxygen and oxygen equipment or capped rental durable medical equipment (DME) to a beneficiary who transitions to them from a non-contract supplier in the middle of the 36-month or 13-month rental payment period?


05/16/2013
When is a contract supplier responsible for repairing equipment?


03/21/2011
Can a supplier choose to grandfather certain beneficiaries and not others?


05/16/2013
Can a supplier of oxygen and oxygen equipment choose to grandfather stationary oxygen and oxygen equipment and not portable oxygen equipment?


05/16/2013
Does a beneficiary currently receiving oxygen and oxygen equipment prior to the 36-month rental cap or renting a capped rental item (e.g., CPAP device) from a grandfathered supplier who has been inpatient for over 60 days plus the days remaining in the last paid rental month and still needs the oxygen or capped rental item upon returning home have to switch to a contract supplier?


05/16/2013
Following the 5-year or 60-month reasonable useful lifetime for oxygen equipment, the beneficiary can elect to obtain replacement oxygen equipment, which triggers the start of a new 36-month rental payment period. Following the 60th month, will a non-contract supplier be permitted to provide the replacement oxygen equipment, or will the beneficiary need to obtain it from a contract supplier for oxygen and oxygen equipment for the competitive bidding area (CBA)?


05/16/2013
If a beneficiary who is receiving capped rental durable medical equipment (DME) or oxygen prior to the start of the competitive bidding program moves from a non-competitive bidding area to a competitive bidding area (CBA), is a contract supplier eligible to start a new capped rental period or entitled to receive additional payments for oxygen?


05/16/2013
If a non-contract supplier chooses to become a grandfathered supplier for oxygen and oxygen equipment, will that supplier be permitted to bill for oxygen contents furnished after the 36-month rental cap period or will the patient have to obtain oxygen contents from a contract supplier?


05/16/2013
What will contract suppliers be paid when they furnish oxygen and oxygen equipment or capped rental durable medical equipment (DME) to a beneficiary who transitions to them from a non-contract supplier in the middle of the 36-month or 13-month rental payment period?


05/16/2013
Will a beneficiary who is currently receiving oxygen and oxygen equipment prior to the 36-month rental cap or renting a capped rental item (e.g., CPAP device) from a grandfathered supplier have to obtain his or her equipment from a contract supplier if there is a break in need of greater than 60 days plus the days remaining in the last paid rental month?


05/16/2013
When is a contract supplier responsible for repairing equipment?


03/21/2011
When is a contract supplier responsible for repairing equipment?


03/21/2011
Who is responsible for repair and maintenance once an item is furnished?


10/01/2009
Do manufacturers need to be accredited to perform warranty repairs?


09/30/2009
Can a physician or other treating practitioner send the order for an external infusion pump to a pharmacy (subcontractor) that is coordinating the drug used with the pump or must the order be sent to the contract supplier that will be furnishing the pump?


05/22/2014
As the primary supplier, I understand that I am responsible for submitting claims on behalf of the Medicare beneficiary. Does this mean I cannot use a billing agent?


04/01/2013
On the subcontractor disclosure form, is it acceptable to provide the subcontractor's corporate headquarters' address?


05/19/2011
Can a contract supplier refer a beneficiary to a subcontractor if the contract supplier chooses not to carry certain items within a product category?


11/03/2009
Our business currently uses subcontractors to deliver our inventory and instruct the beneficiaries on how to use it. On Form B, we will indicate that we use a subcontractor. I understand that we must submit a letter of intent; however, should we also submit a copy of the existing contract?


10/20/2009
What are the requirements regarding subcontracting for inventory under the supplier standards? Does the supplier have to have title to the equipment?


10/16/2009
Do manufacturers need to be accredited to perform warranty repairs?


09/30/2009
May a contract supplier subcontract specifically for the delivery of the item?


09/30/2009
Under the supplier standards, may a supplier subcontract out for other services?


09/30/2009
What are the rules regarding referrals from subcontractors?


09/30/2009
What services may be subcontracted? Which subcontractors need to be accredited?


09/30/2009
What will contract suppliers be paid when they furnish oxygen and oxygen equipment or capped rental durable medical equipment (DME) to a beneficiary who transitions to them from a non-contract supplier in the middle of the 36-month or 13-month rental payment period?


05/16/2013
Do normal utilization parameters for accessories and supplies continue to apply when a patient transitions from a non-contract supplier to a contract supplier? For example, if a patient received a new continuous positive airway pressure (CPAP) mask in month six and transitioned to a contract supplier in month seven, is the contract supplier eligible to bill for a new mask upon setup? Can the contract supplier still provide these items, or is the patient not eligible since he or she received the mask in the month prior?


03/04/2011
If a patient using a continuous positive airway pressure (CPAP) device switches to a contract supplier during the 90-day trial period required by the Local Coverage Determination (LCD), does the contract supplier need to get the compliance data from the original provider?


03/04/2011
When a patient renting capped rental DME from a non-contract supplier switches to a contract supplier, a new 13-month rental payment period begins. Does the 90-day trial period required by the Local Coverage Determination (LCD) start over as well?


03/04/2011


last updated on 12/15/2016

 


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