DMEPOS Competitive Bidding Round 2019 Announced
The Centers for Medicare & Medicaid Services (CMS) has announced plans to consolidate all rounds and areas included in the Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program into a single round of competition – Round 2019.
After the current Round 1 2017, Round 2 Recompete, and National Mail-Order competitions conclude on December 31, 2018, Round 2019 contracts will become effective on January 1, 2019 through December 31, 2021.
Round 2019 will include 141 competitive bidding areas (CBAs) and have a total of 11 product categories.
The DMEPOS Competitive Bidding Program, mandated by Congress through the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), changes the amount Medicare pays for certain equipment like walkers and wheelchairs using market-based prices, while maintaining beneficiary access to items and services and quality of care. The program replaces the outdated, inflated fee-schedule prices Medicare paid for these items with lower, more accurate prices to help Medicare and its beneficiaries save money while ensuring access to quality equipment, supplies, and services. This program also helps limit fraud and abuse in Medicare.
CMS is required by section 1847(b)(3)(B) of the Social Security Act to recompete contracts under the DMEPOS Competitive Bidding Program at least once every three years. Suppliers must then compete to become a Medicare contract supplier by submitting bids to provide certain items in CBAs.
The Competitive Bidding Implementation Contractor (CBIC) is the official information source for bidders and the focal point for bidder education. The CBIC website, link below, features important and helpful resources to ensure that suppliers have the information necessary to understand the new bidding rules and prepare for Round 2019. CMS has provided detailed fact sheets on the CBIC website and will be offering additional educational tools in the future as bidding registration occurs in the spring of 2017.
Want to read the full alert and receive alert emails?