DMEPOS Supplier Accreditation

10.2.5.1 – DMEPOS Supplier Accreditation (Rev. 13717; Issued: 07-08-26; Effective: 01-01-26; Implementation: 08-07-26) A. General Requirement DMEPOS suppliers must be accredited prior to submitting an application to the contractor. The contractor shall deny any DMEPOS supplier's enrollment application if the enrollment package does not contain an approved accreditation upon receipt. Per § 424.57(c)(24), DMEPOS suppliers must be surveyed and reaccredited at least once every 12 months. The prior 3-year timeframe no longer applies. The contractor shall revoke an enrolled DMEPOS supplier’s billing privileges if the supplier fails to: (1) obtain and submit supporting documentation that it has been accredited; or (2) maintain its required accreditation. Medicare denies claims for DMEPOS suppliers that fail to maintain accreditation information on file with the contractor. B. Exemptions Individual medical practitioners, inclusive of group practices of same, do not require accreditation as a condition of enrollment. The practitioner types are those specifically stated in Sections 1848(K)(3)(B) and 1842(b)(18)(C) of the Social Security Act. In addition, the practitioner categories of physicians, orthotists, prosthetists, optometrists, opticians, audiologists, occupational therapists, physical therapists, and suppliers who provide drugs and pharmaceuticals (only) do not require accreditation as a condition of enrollment. Although suppliers that provide only drugs and pharmaceuticals are exempt from the accreditation requirement, suppliers that provide equipment to administer drugs or pharmaceuticals must be accredited. C. Changes of Ownership See section 10.6.1.1.6 of this chapter for information regarding the impact of ownership changes on accreditation. D. Accreditation and Deactivation/Revocation A non-exempt DMEPOS supplier requesting reactivation after a deactivation (regardless of the deactivation reason) is required to be accredited. A revoked DMEPOS supplier that has submitted an acceptable corrective action plan can be reinstated without accreditation unless the accreditation was already required prior to revocation.