Please Note: There is no Medicare information on our corporate website. Please select a specific contract in the 'Search Within' box for Medicare related information.
© 2020 Palmetto GBA, LLC
We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.
Printed Date: 9/22/2015
Don't see your question in the list above? Contact us and we'll help you find an answer.
CMS has issued FAQs regarding accreditation requirements for subcontractors.
Find attached the list of frequently asked questions.
This was last updated on 03/16/2020
DMEPOS suppliers choosing to obtain/maintain Medicare billing privileges must
submit accreditation documentation to the National Supplier Clearinghouse.
Those suppliers exempt from accreditation are:
CMS has approved nine organizations to oversee the process and determine
if DMEPOS suppliers are meeting the requirements of the quality standards for
accreditation. Suppliers are responsible to contact the organization and
commence the accreditation process. Visit the organizations' websites to view a
list of approved accrediting categories of products and services.
Approved Accrediting Organizations
Accrediting organizations (AO) will report accreditation information to the
National Supplier Clearinghouse (NSC). Suppliers may report accrediting
information to the NSC by completing section 3B of the CMS 855S enrollment
application. Suppliers should also complete sections 3A and 3D if
accredited products or services are different from what the NSC has on file for
the supplier. Other sections that should be submitted along with
section 3B are sections 1B, 7, 11 and 15. Suppliers are
encouraged to verify accrediting information with the AOs.
CMS has deemed that suppliers providing drugs and pharmaceuticals only
are not required to be accredited to obtain/maintain Medicare billing
privileges. If suppliers bill for DMEPOS outside of pharmaceuticals, including
products to administer drugs or pharmaceuticals, accreditation will be required
to maintain Medicare billing privileges.
Pharmacy suppliers choosing to provide pharmaceuticals only must update
their file with the National Supplier Clearinghouse (NSC) to reflect the
products and services that will be provided to Medicare beneficiaries. Sections
that should be submitted to the NSC are 1A, 3A, 3B,3C, 11, and 14 or 15 of the
CMS 855S enrollment form. Suppliers found to be in violation by billing for
other products or services will be subject to appropriate actions up to and
As of January 1, 2011, pharmacies that meet all criteria may file an
accreditation exemption statement which enables them to be enrolled in Medicare
to supply durable medical equipment, orthotics, prosthetics and supplies
(DMEPOS) which require accreditation, without having an accreditation. The
exemption criteria is attached.
Accreditation does not transfer with the acquisition of a DMEPOS business. If
the old owner had accreditation, the new owner could be enrolled as of the date
of sale. Suppliers are responsible to contact the accrediting organization
within 30 days of the acquisition for further instruction and guidance.
Accreditation is the process by which an organization is authorized and
credentialed. CMS requires DMEPOS Medicare suppliers to attain accreditation to
ensure industry standards are met and to maintain high levels of excellence in
service and supplies. As of October 1, 2009, all DMEPOS suppliers unless
otherwise exempted by supplier type must be accredited by one of the nine
CMS authorized accrediting organizations.
Suppliers must be in compliance with the current supplier standards to obtain
and/or maintain Medicare billing privileges through the NSC. The supplier
standards are published in CFR 42 424.57 (c).
The quality standards are guidelines used by the CMS approved accrediting
organizations in which suppliers must comply to attain accreditation.
Suppliers are reminded that the NSC and the accrediting organizations are
completely autonomous. Compliance with one entity does not guarantee compliance
with the other.
We value your opinion and want to provide the highest-quality and most relevant Medicare knowledge possible. Please let us know if this article was helpful.
It didn't answer my question
This article was helpful
We’re glad we could help you today and appreciate your feedback. When you rate our articles as most helpful, we know that we are on the right track for providing you with important news and information.
We're sorry this article didn't help you today. We'll use your feedback to review this article to try to revise or expand it. Contact us with more feedback or a question on this topic.
Last Updated: 3/01/2020