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Medicare Links
DMEPOS Facility accreditation is being implemented by CMS to try to reduce fraud, waste, and abuse in the Medicare DMEPOS program. Though originally implemented for competitive bidding, it is now required for all DMEPOS. For CMS’s overview of DMEPOS Facility Accreditation, click here.
Existing DME and pharmacy DMEPOS suppliers enrolled in the Medicare program (prior to January 1, 2008) are required to obtain and submit an approved accreditation to the NSC by September 30, 2009. The NSC shall revoke a DMEPOS supplier’s billing privileges if the DMEPOS supplier fails to obtain and submit supporting documentation that the DMEPOS supplier has been accredited. For more information about deadlines click here.
To read the actual Medicare DMEPOS Facility Accreditation standards, click here.
To read Facility Accreditation Information and required standards from the American Board for Certification in Orthotics, Prosthetics & Pedorthics (ABC), click here.
To read Facility Accreditation Information and
required standards from The Board of Certification/Accreditation
International (BOC), click here.
DMEPOS is managed nationally for CMS by four companies called DME MACs (Durable Medical Equipment Medicare Administrative Contractor)
The four DME MACs are as follows:
DME MAC |
States Served |
| NHIC (16003, Region A) |
CT, DC, DE, MA, MD, ME, NH, NJ, NY, PA, RI, VT |
| National Government Services, Inc. (formerly Administar) (17003,
Region B) |
IL, IN, KY, MI, MN, OH, WI |
| CIGNA Government Services (18003, Region C) |
AL, AR, CO, FL, GA, LA, MS, NC, NM, OK, PR, SC, TN, TX, VA, VI, WV |
| Noridian Administrative Services (19003, Region D) |
AK, AS, AZ, CA, Northern Mariana Islands, GU, HI, IA, ID, KS, MO, MT, ND, NE, NV, OR, SD, UT, WA, WY |
The DME MAC’s Supplier Manual has all of the rules for that DME MAC for filing DMEPOS with Medicare. To learn more, visit these links:
Region A
Region B
Region C
Region D
To see our other FAQ, click here.
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