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Durable Medical Equipment, Prosthetics/Orthotics & Supplies Fee Schedules

Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Updates


  Details for 05/28/2008
  

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Date 05/28/2008
Subject New Tip Sheet for Referral Agents under the DMEPOS Competitive Bidding Program
Content See below

New Tip Sheet for Referral Agents under the DMEPOS Competitive Bidding Program

Medicare providers in the 10 Competitive Bidding Areas (CBAs) who order or refer Medicare beneficiaries for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) can now access a tip sheet that describes the DMEPOS Competitive Bidding program and outlines the important role you will play as someone who may assist beneficiaries residing in or traveling to competitive bidding areas (CBAs) take the proper actions before July 1, 2008.  Many beneficiaries will be required to transition to a contract supplier. For some items, however, Medicare beneficiaries can choose to continue their relationship with current suppliers.

Examples:

  1. Medicare patients in the 10 CBAs who use oxygen will need to take action to either transition to a new contract supplier, or, in the case where their current oxygen supplier elects to become a grandfathered supplier, continue services with their current non-contract supplier.  
  2. Medicare patients in the 10 CBAs who use enteral nutrients, supplies, and equipment must transition to a contract supplier as of July 1, 2008.  If they reside in a Skilled Nursing Facility (SNF)/Nursing Facility (NF) that is not a contract supplier, the SNF/NF will have to make new arrangements with a contract supplier to furnish items to their residents. If they live at home, the beneficiary must make new arrangements with a contract supplier.

The "Referral Agent" tip sheet can be found on the CMS dedicated website at, http://www.cms.hhs.gov/DMEPOSCompetitiveBid.  Just click on the Provider Educational Products and Resources tab and scroll down to the "Downloads" section.

 


 
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Last Modified Date : 05/28/2008
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