Below you will find new single payment amounts (SPAs) for items included in the Round 2 and national mail-order competitions of the DMEPOS Competitive Bidding Program. Under the program, the existing DMEPOS fee schedule payment amounts will be replaced with the single payment amounts for selected items when the program is implemented on July 1, 2013, in the Round 2 and national mail-order competitive bidding areas (CBAs).
The Medicare Modernization Act of 2003 (MMA) requires the amounts paid under the competitive bidding program be less than the amounts payable under the existing payment schedule. Round 2 is projected to result in payment amounts that are on average 45 percent less than Medicare's fee schedule rates for the eight product categories included in Round 2. The national mail-order competition’s payment amounts are an average of 72 percent less than the fee schedule rates. Additional information on the projected savings is available on the Contract Suppliers section on this website.
Single payment amounts (SPAs) for all product categories and for individual product categories are available for download below in both Adobe Acrobat portable document format (PDF) and Microsoft Excel format (XLS).
In the PDF file for individual product categories, page numbers for each CBA are listed in the table of contents. You may click on the CBA or page number to go directly to the SPA for that particular product category.
In the XLS file for all product categories, tabs for each product category are located along the bottom of the spreadsheet. You may click on the name of the product category to go directly to the SPA for that particular product category.