Health Status Monitoring
Guidance for health status information on groups of Medicare beneficiaries impacted by DMEPOS Competitive Bidding Program.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 12, 2019
As of January 1, 2024, there’s a temporary gap in DMEPOS Competitive Bidding Program (CBP). However, we’re continuing to conduct real-time claims analysis to:
- Protect the interest and safety of Medicare beneficiaries
- Monitor the health status of groups of Medicare beneficiaries for all product categories included in the DMEPOS CBP in competitive bidding areas (CBAs) and non-CBAs
See below for health status results. Each file includes a written summary and graphical displays of key indicators reflective of the health status of patients and their access to DMEPOS CBP items and services. The data is derived from claims for Medicare populations in each CBA and a corresponding "comparator" region that’s similar to the CBA. We issue semi-annual updates starting with Q1 2021.
- Summary of Findings thru Q4 2023 (PDF)
- Graphs and Summaries for all Product Category Health Outcomes Thru Dec 2023 (ZIP)
- Commode Chairs Access Group Thru Dec 2023 (ZIP)
- Commode Chairs Utilizers Thru Dec 2023 (ZIP)
- CPAP RADs Access Group Thru Dec 2023 (ZIP)
- CPAP RADs Utilizers Thru Dec 2023 (ZIP)
- Diabetes Access Group Thru Dec 2023 (ZIP)
- Diabetes Supplies Utilizers Thru Dec 2023 (ZIP)
- Enteral Nutrients Access Group Thru Dec 2023 (ZIP)
- Enteral Nutrients Utilizers Thru Dec 2023 (ZIP)
- Hospital Beds Access Group Thru Dec 2023 (ZIP)
- Hospital Beds Utilizers Thru Dec 2023 (ZIP)
- Nebulizers Access Group Thru Dec 2023 (ZIP)
- Nebulizers Utilizers Thru Dec 2023 (ZIP)
- Negative Pressure Wound Therapy Access Group Thru Dec 2023 (ZIP)
- Negative Pressure Wound Therapy Utilizers Thru Dec 2023 (ZIP)
- OTS Back Braces Access Group Thru Dec 2023 (ZIP)
- OTS Back Braces Utilizers Thru Dec 2023 (ZIP)
- OTS Knee Braces Access Group Thru Dec 2023 (ZIP)
- OTS Knee Braces Utilizers Thru Dec 2023 (ZIP)
- Oxygen Access Group Thru Dec 2023 (ZIP)
- Oxygen Utilizers Thru Dec 2023 (ZIP)
- Patient Lifts Access Group Thru Dec 2023 (ZIP)
- Patient Lifts Utilizers Thru Dec 2023 (ZIP)
- Seat Lifts Access Group Thru Dec 2023 (ZIP)
- Seat Lifts Utilizers Thru Dec 2023 (ZIP)
- Standard Wheelchairs Access Group Thru Dec 2023 (ZIP)
- Standard Wheelchairs Utilizers Thru Dec 2023 (ZIP)
- Support Surfaces Access Group Thru Dec 2023 (ZIP)
- Support Surfaces Utilizers Thru Dec 2023 (ZIP)
- TENS Access Group Thru Dec 2023 (ZIP)
- TENS Utilizers Thru Dec 2023 (ZIP)
- Walkers Access Group Thru Dec 2023 (ZIP)
- Walkers Utilizers Thru Dec 2023 (ZIP)
- Access Groups ICD-9 Codebook Thru Dec 2023 (ZIP)
- Access Groups ICD-10 Codebook Thru Dec 2023 (ZIP)
- Archive [ZIP, 96MB] (ZIP)
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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.