Medicare DMEPOS Competitive Bidding Program
What is the Medicare DMEPOS Competitive Bidding Program?
Under existing law, the Department of Health and Human Services (HHS) is required to implement a competitive bidding program for suppliers of wheelchairs and other durable medical equipment as a cost-savings measure under Medicare.
Wherever competitive bidding goes into effect, Medicare will only make payments to a limited number of suppliers that have been selected by HHS. As a result, individuals living with spinal cord injury and paralysis are likely to have fewer suppliers to choose from for both purchase and repairs of wheelchairs and other durable medical equipment. Some individuals will be forced to give up their existing suppliers, and many will be required to travel greater distances to access a supplier that has been selected by HHS.
Health reform requires HHS to implement the competitive bidding program in all geographic locations throughout the United States by 2016. The implementation of the program will take place in multiple phases – starting with nine metropolitan areas on January 1, 2011. (Click here to view a list of places where the policy has gone into effect)
The Reeve Foundation is concerned that the Medicare Competitive Bidding Program will result in reduced access to suppliers of wheelchairs and durable medical equipment for individuals living with spinal cord injury and paralysis. A "Competitive Acquisition Ombudsman" (CAO) is available within the Centers for Medicare and Medicaid Services (CMS) to respond to inquiries and complaints made by suppliers and individuals regarding the application of the Competitive Bidding Program. If you have been negatively impacted by the Program, or you have additional questions, you are encouraged to call 1-800-MEDICARE (1-800-633-4227).
Share Your Story
If you have been negatively impacted by the Medicare Competitive Bidding Program, we encourage you to share your story. With your help, we can work together to ensure that people living with spinal cord injuries and paralysis have access to the quality care and equipment they deserve.
Click here for additional information on the Competitive Bidding Program.