Medicare Managed Care Manual (Pub. 100-16), Ch. 4 § 10.12.1

Designation of DME Providers/Suppliers

Last amended: 2016Year: 2016Length: 142 wordsOfficial source
10.12.1 – Designation of DME Providers/Suppliers (Rev. 121, Issued: 04-22-16, Effective: 04-22-16, Implementation: 04-22-16) During the application process, MA plans identify specific DME suppliers with whom they have a contract to provide enrollees with all medically necessary DME items and supplies. MA plans are also expected to update provider/supplier directory information any time they become aware of changes. All updates to the online directory are expected to be done in real-time. For more information about provider directory requirements, see section 110.2 below. The plan may disclose information on the suppliers contracted to provide DME to enrollees as an attachment to the Annual Notice of Change (ANOC) and the Evidence of Coverage (EOC) and plans that limit the DME brands and manufacturers it will cover are instructed to attach to the EOC or ANOC, as appropriate, a list of those brands and manufacturers.
Medicare Managed Care Manual (Pub. 100-16), Ch. 4 § 10.12.1: Designation of DME Providers/Suppliers | Justis AI