Durable Medical Equipment National Competitive Bidding Implementation – Phase 10G: Paying for Oxygen Equipment when Grandfathered
A non-contract supplier who chose to be a grandfathered supplier for oxygen and oxygen equipment (i.e., portable or stationary) must also furnish additional oxygen equipment when medically necessary (i.e., portable or stationary) after the start of a DMEPOS Competitive Bidding Program to beneficiaries residing in a CBA who are already receiving oxygen equipment from them. This Change Request instructs the Durable Medical Equipment Medicare Administrative Contractors (DME MAC) and the ViPS Medicare System (VMS) shared system maintainer to establish programming to allow payment for oxygen equipment (portable or stationary) claims submitted by a non-contract supplier, furnished to a beneficiary who resides in a competitive bidding area after the start of the DMEPOS Competitive Bidding Program Round One Rebid, when the same supplier furnished an item of oxygen equipment to the beneficiary prior to the start of the Round One Rebid (the items are grandfathered).
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: June 10, 2010
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