Medicare Managed Care Manual (Pub. 100-16), Ch. 4 § 10.12.1
Designation of DME Providers/Suppliers
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.