DMEPOS Supplier

In order to receive Medicare reimbursement for supplying surgical dressings, a supplier must enroll in the Medicare program as a durable medical equipment prosthetics, orthotics, and supplies (DMEPOS) supplier. Additionally, DMEPOS suppliers are required to revalidate their enrollment every three years. The Centers for Medicare and Medicaid Services (CMS) also reserves the right to request off-cycle revalidations.

Enrollment Through 11-6-22

Until November 7, 2022, the National Supplier Clearinghouse (NSC) is the single organizational entity responsible for issuing or revoking Medicare supplier billing privileges for suppliers of DMEPOS. November 6, 2022, is the last day that the NSC will process Medicare enrollment and re-enrollment applications for DMEPOS suppliers.

NEW DME Enrollment Contractors

Starting November 7, 2022, two new contractors will process Medicare enrollment applications for DMEPOS suppliers. These are Novitas Solutions and Palmetto GBA. Novitas is referring to its DMEPOS enrollment contractor as “NPEAST” and Palmetto is referring to its DMEPOS enrollment contractor as “NPE WEST.”

NPEAST DMEPOS will be responsible for DMEPOS enrollment applications in Alabama, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Kentucky, Maine, Maryland, Massachusetts, Michigan, Mississippi, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, South Carolina, Tennessee, Vermont, Virginia, West Virginia, Wisconsin, District of Columbia, Puerto Rico, and the US Virgin Islands

NPE WEST DMEPOS will be responsible for DMEPOS enrollment applications in Alaska, Arizona, Arkansas, California, Colorado, Hawaii, Idaho, Iowa, Kansas, Louisiana, Minnesota, Missouri, Montana, Nebraska, Nevada, New Mexico, North Dakota, Oklahoma, Oregon, South Dakota, Texas, Utah, Washington, Wyoming, American Samoa, Guam, and the Northern Mariana Islands.

Conclusion

Enrollment in the Medicare program as a DMEPOS supplier is required in order to receive Medicare reimbursement for supplying surgical dressings. The DMEPOS Enrollment Contractors are changing as of November 7, 2022.

Reference:

CMS MLN Connect 2022-09-29-MLNC
https://www.cms.gov/outreach-and-educationoutreachffsprovpartprogprovider-partnership-email-archive/2022-09-29-mlnc#_Toc115260364