Claims Jurisdiction and Enrollment Procedures for Suppliers of Certain Prosthetics, Durable Medical Equipment (DME) and Replacement Parts, Accessories and Supplies
This Change Request reinstates the Part B carrier/Medicare Administrative Contractor (MAC) jurisdiction for suppliers of replacement parts, accessories and supplies for prosthetic implants and surgically implanted DME only. It instructs the Part B carriers/MACs to enroll
suppliers of replacement parts, accessories and supplies for implanted DME when the supplier is enrolled with the National Supplier Clearinghouse (NSC) as a Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) supplier. The claims jurisdiction for all other DMEPOS items that are not required to be billed to the intermediary, including non-implantable DMEPOS, remains with the DME MACs.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: September 26, 2008
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