Update on Competitive Bidding 2021
The Round 2021 Competitive Bidding window has closed. CMS will be announcing the single payment amounts and begin the contracting process in the summer of 2020. In the fall of 2020 CMS will announce the contract suppliers and implementation of the Round 2021 contracts and prices will begin January 1, 2021.
CMS Announces Product Categories and Timeline for Competitive Bidding 2021
On March 7, 2019, The Centers for Medicare and Medicaid Services (CMS) announced the final product categories and timeline for the Medicare DMEPOS Competitive Bidding Round 2021.
CMS is required by law to recompete contracts under the DMEPOS Competitive Bidding Program at least once every three years. The contract periods for Round 1 2017, Round 2 Recompete, and the National Mail-Order Recompete expired on December 31, 2018. Round 2021 contracts are scheduled to become effective on January 1, 2021, and extend through December 31, 2023
As expected, certain off-the-shelf (OTS) knee orthoses and spinal orthoses will be included in the Round 2021 competitive bidding program. A total of 16 OTS spinal orthoses codes and 7 OTS knee orthoses codes will be included in the program.
While DMEPOS competitive bidding is in a temporary “gap” period until 2021, the process of soliciting, analyzing, and awarding bids, as well as implementing the program takes approximately 18 months. CMS will be following a strict timeline to assure that Competitive Bidding 2021 will begin on time.
AOPA will be developing several resources to educate its members about the competitive bidding program, so please be sure to check back regularly for updated information and educational opportunities.