Quarterly Provider Updates
Quarterly Provider Updates
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Content Section
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File Name |
CMS-1219-P |
Subject |
Medicare Program; Durable Medical Equipment Regional Carrier (DMERC) Service Areas and Related Matters |
Publication/Implementation Date |
03/26/2004 |
Quarterly Release Date |
01/01/2004 |
Provider Type |
Durable Medical Equipment, Prosthetics, Orthotics and Supplies |
Type of Regulation |
Regulations Published This Quarter |
Regulation Summary |
This proposed rule would allow us to change the geographical boundaries served by the regional contractors that process durable medical equipment claims and to make other minor changes in the contract administration of the durable medical equipment regional carriers (DMERCs). It would allow us to increase or decrease the number of DMERCs, to change the boundaries of DMERCs based on criteria other than the boundaries of the Common Working File, and to name new contractors to perform statistical analysis or maintain the national supplier clearinghouse. We would publish the changes and their justifications in a Federal Register notice, rather than through notice and comment rulemaking. Although we are proposing to allow changes to the number and configuration of regional carriers, we are not proposing to alter the criteria and factors that we use in awarding contracts. The intent of this proposed rule would be to improve the contract process by swiftly meeting the challenges of the changing healthcare industry, addressing the changing needs of beneficiaries, suppliers, and the Medicare program, and facilitating our efforts to provide interested parties with the best value Medicare claims processing services. While we are not proposing to reconfigure the DMERC service boundaries at this time, the changes set forth in this proposed rule would provide a mechanism to swiftly make these kinds of changes without repeatedly invoking full rulemaking. |
Additional Information |
N/A |
| Downloads | CMS-1219-P [PDF, 78KB]
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