New Payment Amounts Announced for Competitive Bidding Program

CMS has announced the new single payment amounts and began sending contract offers to successful bidders for Medicare’s Round 2 Recompete and the national mail-order recompete DMEPOS Competitive Bidding Program. These new payment amounts and contracts go into effect on July 1, 2016. The Round 2 and national mail-order program contract periods expire on June 30, 2016. Round 2 Recompete and the national mail-order recompete contracts will become effective on July 1, 2016 through December 31, 2018. The national mail-order recompete for diabetes testing supplies will be implemented at the same time as Round 2 Recompete.

12,181 contract offers will be made to 637 Round 2 Recompete bidders. Of these offers, 93 percent are to bidders who currently furnish items in the awarded area or within the product category. CMS will offer 9 contracts for the national mail-order program. CMS expects to complete the contracting process in time to announce the contract suppliers in the spring of 2016.

The following product categories are included in the recompete:

  • Enteral nutrients, equipment and supplies
  • General home equipment and related supplies and accessories (includes hospital beds and related accessories, Group 1 and 2 support surfaces, commode chairs, patient lifts and seat lifts)
  • Nebulizers and related supplies
  • Negative pressure wound therapy (NPWT) pumps and related supplies and accessories
  • Respiratory equipment and related supplies and accessories (includes oxygen, oxygen equipment, and supplies; continuous positive airway pressure (CPAP) devices and respiratory assist devices (RADs) and related supplies and accessories)
  • Standard mobility equipment and related accessories (includes walkers, standard power and manual wheelchairs, and scooters and related accessories)
  • Transcutaneous electrical nerve stimulation (TENS) devices and supplies

The contracted pricing for diabetic test strips dropped from $10.41 to $8.32 which will impact all retail suppliers effective July 1, 2016. For more details on Round 2 Recompete and National Mail Order Recompete, please refer to: http://dmecompetitivebid.com.

OmniSYS will continue to monitor and provide updates on the Competitive Bid Program. Please contact your Account Executive with any questions you may have.