NOTE: This is an abbreviated version of the supplier standards every Medicare
DMEPOS supplier must meet in order to obtain and retain their billing
privileges. These standards, in their entirety, are listed in 42 C.F.R. 424.57(c).
1. A supplier must be in compliance with all applicable Federal and State licensure
and regulatory requirements and cannot contract with an individual or entity to
provide licensed services.
2. A supplier must provide complete and accurate information on the DMEPOS
supplier application. Any changes to this information must be reported to the
National Supplier Clearinghouse within 30 days.
3. An authorized individual (one whose signature is binding) must sign the
application for billing privileges.
4. A supplier must fill orders from its own inventory, or must contract with other
companies for the purchase of items necessary to fill the order. A supplier may
not contract with any entity that is currently excluded from the Medicare program,
any State health care programs, or from any other Federal procurement or non-
procurement programs.
5. A supplier must advise beneficiaries that they may rent or purchase inexpensive or
routinely purchased durable medical equipment, and of the purchase option for
capped rental equipment.
6. A supplier must notify beneficiaries of warranty coverage and honor all warranties
under applicable State law, and repair or replace free of charge Medicare
covered items that are under warranty.
7. A supplier must maintain a physical facility on an appropriate site. This standard
requires that the location is accessible to the public and staffed during posted
hours of business, with visible signage. The location must be at least 200 square
feet and contain space for storing records.
8. A supplier must permit CMS, or its agents to conduct on-site inspections to
ascertain the supplier’s compliance with these standards.
9. A supplier must maintain a primary business telephone listed under the name of
the business in a local directory or a toll free number available through directory
assistance. The exclusive use of a beeper, answering machine, answering service
or cell phone during posted business hours is prohibited.
10. A supplier must have comprehensive liability insurance in the amount of at least
$300,000 that covers both the supplier’s place of business and all customers
and employees of the supplier. If the supplier manufactures its own items, this
insurance must also cover product liability and completed operations.
MEDICARE DMEPOS SUPPLIER STANDARDS
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