Form C reports for the second half of 2016 are due no later than today, Friday, July 15, 2016, at 11:59:59 p.m. prevailing Eastern Time. If you have not yet submitted your Form C report for the second half of 2016, 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. Information you provide on 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.
Failure to submit a Form C for all competitive bidding area (CBA)/product category combinations in your contract may be considered a breach of contract and result in termination.
For more information about the semi-annual reporting requirement or assistance in completing the form in Connexion, please call the Competitive Bidding Implementation Contractor (CBIC) customer service center at 877-577-5331 between 9 a.m. and 5:30 p.m. prevailing Eastern Time, Monday through Friday.