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05/27/2008

Competitive bidding for DMEPOS under the Medicare Program

On July 1, 2008, physical therapists in Ohio will be affected by Medicare's Competitive Acquisition of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS), also known as competitive bidding.

The competitive bidding program, mandated by the Medicare Modernization Act (MMA) of 2003, required the Centers for Medicare and Medicaid Services (CMS) to transition from paying for DMEPOS under a fee-for-service system to paying for these supplies based on competitively bid amounts. In other words, if you are a physical therapist in one of ten Metropolitan Statistical Areas (MSAs), you will be required to obtain DMEPOS for your patients from a supplier that has been awarded a contract by CMS. It is possible that suppliers that physical therapists previously used to obtain items for their patients will no longer be able to furnish these items.

The areas in Ohio that are affected by this program are Cincinnati-Middletown; Cleveland-Elyria-Mentor. Please reference the links (included below) to the zip codes for each of the 10 Metropolitan Statistical Areas and the suppliers that have been awarded competitive bidding contracts.

Both APTA and CMS have developed resources to help explain the program. If you have any questions, please feel free to contact APTA's Government and Payment Advocacy Unit at 800-999-2782 X8511.

Website Resources
*Link to APTA resources on Competitive Bidding
*Link to CMS Resources on Competitive Bidding
*Zip Codes for the 10 MSAs
*Winning Contractors


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