DMEPOS COMPETITIVE BIDDING PROGRAM HOSPITALS THAT ARE NOT CONTRACT SUPPLIERS
Under the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP), beneficiaries with Original Medicare who obtain competitively bid items in competitive bidding areas (CBAs) are required to obtain these items from a competitive bidding contract supplier, unless an exception applies. This fact sheet discusses one of these exceptions, which allows hospitals in CBAs to furnish certain competitively bid items to their own patients without submitting a bid and being selected as a contract supplier.
From January 1, 2021, thru December 31, 2023, the CBP will only be in effect for off-the-shelf (OTS) back and knee braces, so the guidance in this fact sheet only applies to these items during this time.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: October 23, 2020
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.