Claims Processing Manual

Chapter 36

On May 9, 2008, the Center for Medicare and Medicaid Services added an additional chapter to its Claims Processing Manual. Chapter 36 was added in an effort to manualize policies and instructions for Medicare Contractors on the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Competitive Bidding Program. Chapter 36 can be viewed by clicking here.

The new chapter includes information about:

• Small Suppliers and Networks
• Suppliers of Grandfathered Durable Medical Equipment
• Non-Contract Repairs and Replacement
• Non-Contract Supplier- Medicare Second Payer
• Special Rules for Grandfathered Suppliers and Items
• Requirements for Grandfathered Suppliers
• Notification to Beneficiaries by Suppliers that Choose/ Choose not to Become Grandfathered Suppliers
• Transfer of Title for Oxygen Equipment and Capped Rental Durable Medical Equipment
• Use of Advanced Beneficiary Notice (ABNs)
• Reporting Change of Ownership