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: