DME: Good News--Therapists Exempt From Competitive Bidding Process

Why This Topic Matters

The rule changes who can participate in Medicare’s competitive bidding environment and adds accreditation-related requirements that affect supplier eligibility and continued reimbursement. Understanding the scope and timing of the policy helps providers and suppliers assess operational readiness and compliance.

Article Sections

1. Competitive bidding rule and implementation timeline

   Introduces CMS’s final rule for the Medicare competitive bidding program and describes the phased rollout across selected metropolitan areas and later expansion. It also situates the policy within Medicare Part B and DMEPOS coverage.

2. Private practice therapists and other clinicians

   Summarizes how certain clinicians may continue furnishing selected items to their own patients under the new program. The section also discusses accreditation expectations and the role of the accepted payment methodology.

3. Skilled nursing facilities and supplier participation

   Explains how skilled nursing facilities may participate as providers for their own residents under the final rule. It also addresses bid timing, contract awards, and accreditation-related eligibility issues.