Competitive Bidding Round 2021 Has Ended
The Competitive Bidding Program (CBP) Round 2021, which included 16 off-the-shelf (OTS) spinal orthoses and 7 OTS knee orthoses, ended on December 31, 2023. Beginning on January 1, 2024, there will be a temporary gap period for the CBP. During this gap period all enrolled Medicare DMEPOS suppliers may once again provide the OTS orthoses previously subject to the CBP. Please review the 2024 DMEPOS Fee Schedule for the updated fees for these 23 OTS orthoses.
The next round of the CBP for orthotics and prosthetics, has not been announced. However, CMS has stated that the next round will not begin until they:
- Complete the formal public notice and comment rulemaking process
- Implement necessary DMEPOS CBP changes to:
- Establish sustainable prices
- Save money for Medicare patients and taxpayers
- Help limit fraud, waste, and abuse in the Medicare Program
- Ensure patient access to quality items and services During the temporary gap period.
AOPA will notify all members when CMS releases new regulations related to the next round of the CBP and will continue to seek a legislative exemption for O&P providers.
Round 2021 Competitive Bidding Areas (CBA)
Round 2021 Contracted Suppliers
Round 2021 Single Pricing Amounts (SPA)
Round 2021 Pivotal Bid Amounts & Other Reports
For additional information on Round 2021 visit the Medicare DMEPOS Round 2021 homepage.