The introduction of lead item pricing will be making DMEPOS competitive bidding a lot more market oriented in the coming times. In the prior rounds, single payment amount for an item was equal to the median of the bids. Round 2021 will be completely different this time.
The newly included items in the DMEPOS bidding program are knee braces, OTS back braces and non invasive ventilators with the product category now standing at 16. The payment and bidding methodology has changed completely with the introduction of lead item pricing with bids and rates of payment assigned to each category of product.
The key guidelines this time for Round 2021:
- All bidders in Round 2021 will be needed to obtain a bid surety bond in the amount of $50,000 for each competitive bidding area in which the bid gets submitted.
- It is important to note that the bid surety bonds required for bidding in the DMEPOS competitive bidding program will not be the same as the surety bonds required for the DMEPOS supplier enrollment purposes.
- All applicable licensing requirements have to be fulfilled with contracts only awarded to those bidders by the closing of the bid window.
- The changes of the licensing requirements changes periodically with the responsibility lying with the bidder to identify obtain and have all the current, non expired licenses reflecting in the PECOS by the close of the bid window.
- Also, each supplier location on a particular bid must be accredited by CMS approved accrediting organization for the lead as well as the non lead items in a product category.
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