Durable Medical Equipment, Prosthetics, Orthotics, and Supplies. DMEPOS Competitive Bidding Program
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1 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies DMEPOS Competitive Bidding Program
2 Agenda Welcome Education and Outreach Activities Ombudsman Program How to Update Contract Information Marketing Guidelines Contract Supplier Obligations 2
3 Welcome CONGRATULATIONS!!! 3
4 Education and Outreach Target audiences Suppliers (Contract and Non-Contract) Beneficiaries (and their caregivers) Provider referral agents Partners / stakeholders 4
5 Education and Outreach Activities and Events Suppliers (contract and non-contract) Education Calls Next Contract Supplier Call is November 17 th from 2:00 p.m. to 3:00 p.m. Eastern Standard Time MLN Matters articles Centers for Medicare & Medicaid Services (CMS) and Competitive Bidding Implementation Contractor (CBIC) websites CBIC customer service center 5
6 Education and Outreach Activities and Events Beneficiaries (and their caregivers) Mailings (letters, brochures, etc.) Medicare Summary Notice (MSN) Handbook and DME publications Beneficiary advocate trainings Local briefings and education sessions MEDICARE Medicare website and Supplier Directory 6
7 Education and Outreach Activities and Events Provider Referral Agents CMS dedicated webpage Listserv messages Provider partner messages to national associations National provider conference calls Fact sheets FAQs MLN Matters articles and NewsFlash items Workshops and briefings in CBAs Medicare contractors provider contact centers Contract supplier locator tool 7
8 Education and Outreach Activities and Events Partners and Stakeholders Workshops and trainings Fact sheets and handouts Listserv messages Handbook and DME publication CMS websites 8
9 CBIC Ombudsman Program Principal responsibilities include: To provide an understanding of the competitive bidding program, the law, policies, regulations and administration through education To receive and resolve complaints and issues by, or on behalf of, stakeholders (beneficiaries, referral agents, beneficiary advocacy groups, providers and contract suppliers) 9
10 CBIC Ombudsman Program Contact the CBIC Ombudsman: To report concerns about a supplier or referral agent, the quality of services or items, suspected fraud or abuse To obtain assistance locating a supplier To clarify guidelines on particular policies To obtain information or clarify regulations For general information about the program For educational materials or programs 10
11 Meet the Ombudsmen Competitive Bidding Area Ombudsmen Charlotte-Gastonia-Concord, NC/SC Cincinnati-Middletown, OH/KY/IN Cleveland-Elyria-Mentor, OH Dallas-Fort Worth-Arlington, TX Kansas City, MO/KS Miami-Fort Lauderdale-Pompano Beach, FL Orlando-Kissimmee, FL Pittsburgh, PA Riverside-San Bernardino, CA Makisha Pressley- Callaham Vinsetta Montgomery Kim Scippio Elena Armstrong Michal Mitko Letisha Davis Carmen Soto-Ortiz Rahshaan Felder Janice Selling 11
12 Contract Updates Contract Supplier Change of Information (COI) Form Authorized official / backup authorized official Toll-free number Doing-Business-As (DBA) name Update Location Form Add a location Remove a location 12
13 Reminders November 17 Grandfathering Notifications November 18 Subcontracting Disclosure November 19 Supplier Inquiry
14 Marketing Guidelines May use Medicare Contract Supplier May not use symbols, emblems, or names in reference to CMS May not make unsolicited direct contact to Medicare beneficiaries unless an exception applies Refer to fact sheet on CBIC website 14
15 Contract Supplier Obligations 15
16 Contract Terms Article III: Contract Period Comply for full contract period Must be ready to perform on day one Contract periods: Diabetic Supplies January 1, 2011, to December 31, 2012 All other product categories January 1, 2011, to December 31,
17 Contract Terms Article IV: Furnishing of Items Cannot Discriminate Furnish same items available to all customers Must furnish competitively bid items to any beneficiary who maintains permanent residence in or visits CBA Only Exception: SNF/NF as specialty supplier 17
18 Contract Terms Article VI: Subcontracting Responsible for actions of subcontractor Must be accredited as applicable Must comply with supplier standards Purchase of inventory (#4) Delivery and instruction on the use of item (#12) Repair of rented equipment (#14) 18
19 Contract Terms Article VI: Subcontracting Must notify CMS of subcontracting arrangement(s) within 10 business days of contract award or of entering into an agreement May use sample subcontracting disclosure form on the CBIC website 19
20 Contract Terms Article X: Maintain Medicare Billing Privileges and Accreditation Maintain enrollment, accreditation, and licensure status Notify CMS within five (5) business days of any changes to Medicare billing privileges or accreditation status 20
21 Resources CBIC Customer Service Center: (877) CMS Website: CBIC Website: NSC Website: 21
Article IV: Furnishing of Items
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