DMEPOS Order Requirements for Changing Suppliers

Effective April 24, 2017, MACs to accept timely orders and medical documentation (so long as it meets Medicare requirements), regardless of whether the supplier received the documentation directly from the beneficiary’s eligible practitioner or from another, transferring supplier.

Be aware that a new order is required in the following situations:

  • There is a change in the order for the accessory, supply, drug, and so forth.
  • On a regular basis (even if there is no change in the order) only if it is so specified in the documentation section of a particular medical policy.
  • When an item is replaced.
  • When there is a change in the supplier, if the recipient supplier did not obtain a valid order for the DMEPOS item from the transferring supplier.

This change permits the MACs to accept timely orders and medical documentation, regardless of whether the supplier received the documentation directly from the beneficiary’s eligible practitioner or from a transferring supplier. This change is applicable to all suppliers.