U S Department of Health and Human Services www.hhs.gov

Durable Medical Equipment (DME) Center

  • CMS has announced the Interim Final Rule with Comment Period (IFC) for the Medicare Competitive Acquisition Program for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, which implements certain provisions of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA). CMS has also announced new members for the DMEPOS Competitive Bidding Program Advisory and Oversight Committee. View Press Release , Fact Sheet, and list of PAOC members.
  • DMEPOS Accreditation Deadline is September 30, 2009; CMS Encourages Suppliers to Submit Applications by January 31, 2009 Posted: 1/15/2009
  • Try the NEW Guided Pathways (DEC2008) Medicare Learning Network (MLN) products! These three booklets incorporate existing Medicare Learning Network (MLN) products and other CMS resources into well organized sections that can help Medicare Fee-for-Service (FFS) providers and suppliers find information to understand and navigate the Medicare Program. The three Guided Pathways booklets guide learners to resources that provide a fundamental overview of Medicare knowledge, as well as detailed FFS policies and requirements. Click here to access the Guided Pathways educational web guide and booklets. (Posted 01/08/09)
  • Medicare has announced new oxygen payment rules and supplier responsibilities required by the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) in the Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B regulation (CMS-1403-FC). CMS will be issuing detailed program instructions and Medicare Learning Network (MLN) articles related to implementation of payment changes mandated by section 144(b) of MIPPA and section 5101 of the Deficit Reduction Act of 2005 within the next few months. View Regulation, Fact Sheet and Web Posting.
  • Delay of the National DMEPOS Competitive Bidding Program: Claims Processing --  Section 154 of the Medicare Improvements for Patients and Providers Act of 2008 delays the DMEPOS Competitive Bidding Program. Therefore, in the 10 areas where competitive bidding was initiated, Medicare will pay for DMEPOS items, retroactive to June 30, 2008, using the standard DMEPOS fee schedule amounts.  CMS will begin processing all incoming claims under standard FFS rules, no later than July 28, 2008. Any claims that were held will be processed no later than August 4, 2008.  To the extent possible, CMS will also automatically reprocess claims that were paid under the Competitive Bidding Program and those claims denied based solely due to DMEPOS Competitive Bidding Program rules.  Note that in some instances suppliers will need to alert the contractor to claims that should be adjusted.  CMS will soon issue contractor instructions and issue accompanying MLN Matters articles with more information. (posted 7/18/08)

Medicare Learning Network (MLN) Spotlights

Go to the What's New page for the latest MLN products and announcements!  Check it often!

Important Links

Medicare Prescription Drug Coverage

DME Medicare Administrative Contractor (MAC) Websites


CMS Manuals & Transmittals

DME MAC Supplier Manuals


Program Integrity/ Medical Review
  • Chapter 5- Program Integrity Manual - Items and Services Having Special DMERC Review Considerations
  • Chapter 12- Program Integrity Manual - FI, Carrier, DMERC and RHHI Interaction and Coordination with Program Safeguard Contractors (PSCs)
  • Medical Review Process


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