Medicare DMEPOS Supplier Standards | Reliable Medical Equipment

Centers for Medicare & Medicaid Services (CMS) DMEPOS Supplier Standards

1. 1. A supplier must be in compliance with all applicable federal and state licensure and regulatory requirements.
2. 2. A supplier must provide complete and accurate information on the DMEPOS supplier application.
3. 3. An authorized individual must sign the application for billing privileges.
4. 4. A supplier must fill orders from its own inventory or have a contracted source to purchase items.
5. 5. A supplier must advise beneficiaries that they may rent or purchase inexpensive or routinely purchased durable medical equipment, and of the purchase option for capped rental items.
6. 6. A supplier must honor all warranties expressed or implied under applicable state law.
7. 7. A supplier must maintain a physical facility on an appropriate site that is accessible to the public and staff.
8. 8. A supplier must permit CMS or its agents to conduct on-site inspections.
9. 9. A supplier must maintain a primary business telephone that is operated during specified business hours.
10. 10. A supplier must have comprehensive liability insurance in the amount of at least $300,000.
11. 11. A supplier must agree not to contact a beneficiary by telephone when prohibited by federal statute.
12. 12. A supplier must be responsible for delivery and must instruct the beneficiary on the safe use and maintenance of equipment.
13. 13. A supplier must answer questions and resolve complaints a beneficiary has regarding the equipment.
14. 14. A supplier must maintain and replace at no charge or repair equipment rented by a beneficiary.
15. 15. A supplier must accept returns of substandard or unsuitable items from beneficiaries.
16. 16. A supplier must disclose these supplier standards to each beneficiary to whom it supplies equipment.
17. 17. A supplier must comply with the disclosure requirements in 42 CFR 420.206.
18. 18. A supplier must display this information conspicuously at its place of business.
19. 19. A supplier must have a complaint resolution protocol and notify beneficiaries of their right to file complaints.
20. 20. A supplier's complaint records must include the name, address, telephone number, and summary of the complaint.
21. 21. A supplier must agree to furnish CMS any information required by Medicare regulations.
22. 22. All suppliers of DMEPOS must be accredited by a CMS-approved accreditation organization.
23. 23. All DMEPOS suppliers must notify their accreditation organization within 30 days of any change of ownership.
24. 24. A supplier must be licensed to provide all DMEPOS items it supplies within the state in which it provides services.
25. 25. A supplier must be open to the public for a minimum of 30 hours per week, with exceptions for specified specialties.
26. 26. A supplier must meet the surety bond requirements specified in 42 CFR 424.57(d).
27. 27. A supplier must obtain oxygen from a state-licensed oxygen manufacturer or distributor.
28. 28. A supplier must maintain ordering physician documentation for 7 years.
29. 29. A supplier is prohibited from sharing a practice location with other Medicare suppliers unless exempted.
30. 30. A supplier must remain open to the public and have all required personnel on-site during operational hours.