Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.2
Competitive Bidding Areas (CBAs)
20.2 - Competitive Bidding Areas (CBAs)
(Rev. 1502; Issued: 05-09-08; Effective/Implementation Date: 06-09-08)
A CBA is designated by specific ZIP Codes. A CBA that is identified with a specific MSA may
be concurrent with, larger than or smaller than the related MSA depending on a variety of
considerations. Areas that may be exempt from the Medicare DMEPOS Competitive Bidding
Program include rural areas and areas with low population density within urban areas (i.e.,
MSAs) that are not competitive, unless there is a significant national market through mail order
for a particular item or service. The CBA will be the area within which certain DMEPOS items
must be furnished by contract suppliers unless an exception applies.
CBAs are designated through program instructions or other means (e.g. Web site posting). A
listing of the ZIP Codes per CBA for round 1 of the DMEPOS Competitive Bidding Program is
available at CBIC Web site, http://www.dmecompetitivebid.com. ZIP Codes for future rounds
will also be listed on this Web site. The DME MACs will be notified of any changes to ZIP
Codes as often as weekly via systematic updates to VMS.