There are many regulations governing the supply of DMEPOS items for Medicare beneficiaries. Physical therapists should understand how supplier enrollment, accreditation, and competitive bidding impact their ability to provide these items to their patients. In addition, there are several regulations regarding the provision of power mobility devices. The information below helps explain the various regulations for DMEPOS as well as APTA efforts to ensure that PTs are able to supply needed items to their patients.
News and Updates
November 5, 2019: The US Centers for Medicare and Medicaid Services (CMS) aims to make payments for devices a little more predictable in light of the ever-increasing—and ever-advancing—range of options available to providers and patients. CMS intends to accomplish this goal by way of a "comparable item analysis" system that the agency thinks will help make it easier to nail down exactly what Medicare will pay for those devices. The new rule takes effect January 1, 2020. Read more about the rule that begins January 1, 2020.
December 28, 2018: All Medicare Durable Medical Equipment, Prosthetics, Orthotics, & Supplies (DMEPOS) Competitive Bidding Program (CBP) contracts expire on December 31, 2018. Starting January 1, 2019, there will be a temporary gap in the DMEPOS CBP that CMS expects will last until December 31, 2020. During the temporary gap, any Medicare-enrolled DMEPOS supplier may furnish DMEPOS items and services to people with Medicare. In most cases, people with Medicare won't need to switch suppliers on or after January 1, 2019. For more information, see this CMS fact sheet.
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APTA Fact Sheets and Summaries