MLN Matters Special Edition Article (New) SE21005: Requirement to Report DMEPOS Licensure, Product, and Service Changes
This new Special Edition Article comprises Subregulatory Guidance for Durable Medical Equipment, Prosthetics, Orthotics, & Supplies (DMEPOS) suppliers submitting claims to Durable Medical Equipment Medicare Administrative Contractors (DME MACs) for DMEPOS items and supplies provided to Medicare patients. CMS policy or operation subject matter experts also reviewed/cleared this article. This Article informs DMEPOS suppliers about the requirement to update their Medicare enrollment record with changes to the products/services for which they bill Medicare and also report changes to applicable DMEPOS licensure information. Specifically, DMEPOS suppliers must report any changes in information to CMS via the Internet-based Provider Enrollment, Chain, and Ownership System (PECOS) at https://pecos.cms.hhs.gov/pecos/login.do#headingLv1 or the CMS-855S (Medicare Enrollment Application) at https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/cms855s.pdf within 30 days of the change as established in 42 CFR 424.57(c)(2) at https://www.ecfr.gov/cgi-bin/text-idx?SID=a01efaa06e0a414c93f0e2b40ff8ef0d&mc=true&node=se42.3.424_157&rgn=div8 . This includes all changes to information located on a DMEPOS supplier’s enrollment record, including changes unrelated to licensure, products, or services.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: May 10, 2021
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.