The Centers for Medicare & Medicaid Services (CMS) has released an advanced notice of proposed rulemaking soliciting comments from stakeholders in preparation for nationwide expansion of Medicare's competitive bidding program for durable medical equipment, prosthetics, orthotics and supplies (DMEPOS). Follow these instructions to submit a comment. Comments are due no later than Friday, March 28, 2014.
Per the Affordable Care Act, CMS must implement competitive bidding or competitive bidding pricing for the included items and services to non-competitive bidding areas by 2016. CMS is looking for feedback regarding potential modifications to the competitive bidding program's current payment rules and methodologies that could be applied to future rounds and guidance. Specifically, the agency is looking for feedback regarding:
Competitive Bidding: Potential modifications to the program's current payment rules and methodologies that could be applied to future rounds (e.g., bundling payment for all items and services associated with furnishing DMEPOS into one monthly payment based on supplier bids for furnishing all items needed for a month).
Competitive Bidding Pricing: Proposed payment methodologies to be applied to those areas that are not competitively bid (i.e., how Medicare's current DME fee schedule would be adjusted to accommodate the payment amounts for DMEPOS furnished in areas not being competitively bid).
Medicare's competitive bidding program for DMEPOS is currently in effect in 100 areas across the county. The program is poised to expand nationwide in 2016 to both urban and rural locations, and could potentially include any product covered under Medicare's DME benefit, with the exception of parenteral nutrition.
If you have any question or require additional information, contact WOCN Government Relations staff, Chris Rorick,at Chris.Rorick@bryancave.com.