Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20
DMEPOS Competitive Bidding Process
20 - DMEPOS Competitive Bidding Process
(Rev. 1502; Issued: 05-09-08; Effective/Implementation Date: 06-09-08)
To be considered for participation in the Medicare DMEPOS Competitive Bidding Program,
suppliers must submit a bid in each CBA for each product category that they want to furnish to
Medicare beneficiaries. DMEPOS suppliers must submit a bid amount for every item within a
product category. All DMEPOS suppliers that submit a bid must meet the eligibility
requirements in 42 CFR 411.414(b)-(d) and the bidding requirements established in the RFB. The
RFB may be found on the CBIC Web site at http://www.dmecompetitivebid.com.
Bids are evaluated to determine whether the supplier will be able to participate in the program
for the duration of the contract period. A composite bid (a supplier’s weighted bids for all items
within a product category within a CBA) is calculated for each supplier by product category and
by CBA. These composite bids are then ranked in order from the highest to the lowest. The
lowest ranked composite bid that includes a sufficient number of qualified suppliers to meet
beneficiary demand for the items in a product category will become the pivotal bid.
Qualified suppliers that meet all of our requirements and whose composite bids are less than or
equal to the pivotal bid will be offered a contract to participate in the Medicare DMEPOS
Competitive Bidding Program. Also, additional small suppliers may be added to meet our small
supplier target (see section 20.5.1). During the contracting process, additional suppliers may be
awarded a contract to meet beneficiary demand.