Q&A’s about DMEPOS Round 2021 Updates

In the last few weeks, there have been changes regarding Round 2021 of the DMEPOS Competitive Bidding Program. Continue reading below for answers to some commonly asked questions regarding this topic. 

Q: Were the 16 product categories suspended or delayed?
A: 14 product categories have been removed from Round 2021. CMS announced on 10/27/2020 that OTS back and knee braces are the only items moving forward with bids. Read our blog article “Round 2021 moves forward with OTS Back & Knee Braces, SPAs, and Contract Offers” for more information.

Q: Will I continue to be paid at the current rate?
A: Yes, you will continue to pay your current rate.

Q: When will there be a rate increase?
A: The current proposed rule for DMEPOS items furnished in non-CBAs, will either adjust the fee schedule on or after April 1, 2021, or the date immediately following the duration of the Public Health Emergency for COVID-19, whichever is later.  

Q: What will happen to the pricing?
A: At this time, CMS is still reviewing the current fee schedule for non-CBAs, CBAs, and former CBAs to determine if they will extend the application for the current schedule until bidding has resumed and new SPAs are calculated.

Q: Where can I go to read more about this topic?
A: Read CMS’s “The Final Rule” document online: