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Educational Information

Form C for the second half of 2016 is now available on the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program’s secure portal – Connexion. Log into CMS’ Enterprise Portal to enter Connexion. Then select Form C under the Forms tab at the top of the page or on Your To-Do List. Form C is used to update the Supplier Directory on the Medicare website at www.Medicare.gov with the products you plan to provide during the NEXT six-month period.

As stated in your DMEPOS competitive bidding contract for Round 2 Recompete and/or the national mail-order recompete, the form is due no later than ten business days after each of the following dates: June 30 and December 31, throughout the entire contract period. This requirement only applies to Round 2 Recompete and the national mail-order recompete contracts. You must complete Form C in Connexion no later than Friday, July 15, 2016, for EVERY competitive bidding area (CBA)/product category combination included in your contract.

IMPORTANT: Round 1 Recompete contract suppliers are still required to submit Form C every quarter within 10 calendar days of the end of the quarter. Suppliers must complete and submit the online Form C on the Competitive Bidding Implementation Contractor (CBIC) website by July 10, 2016.

For more information about the semi-annual report requirement or assistance in completing the form in Connexion, please call the CBIC customer service center at 877-577-5331 between 9 a.m. and 5:30 p.m. prevailing Eastern Time, Monday through Friday.

last updated on 06/24/2016


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