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Health Status Monitoring

Guidance for health status information on groups of Medicare beneficiaries impacted by DMEPOS Competitive Bidding Program.

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: November 12, 2019

As of January 1, 2024, there’s a temporary gap in DMEPOS Competitive Bidding Program (CBP). However, CMS is continuing to conduct real-time claims analysis to:

Protect the interest and safety of people with Medicare
Monitor the health status of groups of people with Medicare for all product categories included in the DMEPOS CBP in competitive bidding areas (CBAs) and non-CBAs

See below for health status results. Each file includes a written summary and graphical displays of key indicators reflective of the health status of patients and their access to DMEPOS CBP items and services. We source the data from claims for Medicare populations in each CBA and a corresponding "comparator" region that’s similar to the CBA. We issue semi-annual updates starting with Q1 2021.

See below for health status results. Each file includes a written summary and graphical displays of key indicators reflective of the health status of patients and their access to DMEPOS CBP items and services. The data is derived from claims for Medicare populations in each CBA and a corresponding "comparator" region that’s similar to the CBA. We issue semi-annual updates starting with Q1 2021.

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.