2009 Competitive Acquisition Program (CAP) Postponed

2009 Competitive Acquisition Program (CAP) Postponed The Centers for Medicare & Medicaid Services (CMS) announced that the Competitive Acquisition Program (CAP) will continue through December 31, 2008. The 2009 CAP program has been postponed. CAP is a program that gives physicians a choice of buying and billing Medicare Part B drugs and biologicals through a competitive bidding process from vendors, as mandated by the Medicare Modernization Act of 2003, Section 1847B, which became effective on July 1, 2006. CMS explained that contractual issues with vendors were the reason for postponing the 2009 CAP program. As a result, physicians who...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article summarizes a CMS announcement about the Competitive Acquisition Program and its extension through the end of 2008, along with the postponement of the 2009 program. It is relevant to physicians, practices, and billing staff who follow Medicare Part B drug and biological acquisition policies, as well as readers tracking CMS program updates and implementation timing. The article also notes CMS’s stated review of vendor- and physician-related feedback and the general areas under evaluation.

Why This Topic Matters

This matters for providers and billing teams because it affects how certain Medicare Part B drugs and biologicals were obtained and billed during the transition period, and it signals CMS program changes that could influence practice operations and planning.

What You Will Learn

  • The overall status of the Competitive Acquisition Program during the transition period
  • Why CMS said the 2009 program was postponed
  • What broad program areas CMS was reviewing with stakeholders
  • How the announcement affects providers participating in the program

Who Should Read This

  • Physicians
  • Medical practice administrators
  • Medical billers and coders
  • Healthcare compliance staff
  • Medicare policy readers

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