Beginning July 1, 2013, Medicare patients living in six Texas areas will have to start receiving durable medical equipment (DME) in the eight categories below from contracted providers, unless their current supplier decides to become a grandfathered supplier (PDF) (a noncontract supplier that chooses to continue providing certain rented medical equipment or oxygen under the terms of the program).
The program is for original Medicare and does not apply to Medicare Advantage Plans. The areas affected are McAllen-Edinburg-Mission, San Antonio-New Braunfels, Austin-Round Rock-San Marcos, Beaumont-Port Arthur, El Paso, and Houston-Sugar Land-Baytown for these product categories:
- Oxygen, oxygen equipment, and supplies;
- Standard (power and manual) wheelchairs, scooters, and related accessories;
- Enteral nutrients, equipment, and supplies;
- Continuous positive airway pressure devices, respiratory assist devices, and related supplies and accessories;
- Hospital beds and related accessories;
- Walkers and related accessories;
- Support surfaces (Group 2 mattresses and overlays); and
- Negative Pressure Wound Therapy pumps and related supplies and accessories.
National Mail-Order Program for Diabetic Testing Supplies
In addition to the categories of items listed, Medicare will start a national mail-order program for diabetic testing supplies on July 1, at the same time as Round 2 of the competitive bidding program. The national mail-order program will include all parts of the United States. When the national mail-order program starts, people with original Medicare will need to use a contract supplier for diabetic testing supplies delivered to their homes.
You can search by ZIP Code for DME suppliers in the competitive and noncompetitive bid categories.
Published June 11, 2013
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