Single Payment Amount

40.1 - Single Payment Amount (Rev. 1532, Issued: 06-11-08, Effective: 07-01-08, Implementation: 07-07-08) The single payment amount for each competitively bid item in each CBA is based on the bids submitted and accepted for that item. Only bids from qualified suppliers (those that met all quality and financial standards and eligibility and accreditation requirements) are considered in setting the single payment amount. The single payment amount for an item furnished under the competitive bidding program is equal to the median of the bids submitted for that item by qualified suppliers whose composite bids for the product category are equal to or below the pivotal bid for that product category. The single amount is determined by CMS and remains in effect for the duration of a contract period and is not adjusted for inflation. A listing of the single payment amounts will be posted at the CBIC Web site at http://www.dmecompetitivebid.com. See section 100.5 of chapter 23 of the Claims Processing Manual for instructions regarding adjustments to the single payment amounts as a result of changes in the HCPCS.