Can I operate a durable Medicare equipment company from my home?

The simple answer is 'yes'. However, there are many issues a home-based business must consider before applying for a supplier number. Below is a list of issues with a brief description:

  • Zoning: A home-based business must be sure its operation is allowed by the city and/or county zoning ordinances. The home-based business must be able to show compliance with all supplier standards.
  • Reasonable Business Hours: The business hours must be posted and reasonable in regards to when a Medicare beneficiary may visit and in compliance with Standard 30 which specifies that the business operate at a minimum of 30 hours per week unless exempt by supplier type.
  • Gated Community: This type of home-based business is not considered 'accessible' to Medicare beneficiaries and therefore is not in compliance with Standards 7 or 8 unless immediate access can be granted by beneficiaries, CMS, NSC or any authorized agent.
  • Home Owners Associations: A home-based business must be sure the homeowners association’s regulations do not prevent compliance with the supplier standards.
  • Insurance: Homeowner’s insurance does not show compliance with Standard 10. A supplier must have at least $300,000 in comprehensive liability coverage.
  • Handicap Accessibility: A home-based business must be in compliance with all laws and regulations (Standard 1). Therefore, the business must be in compliance with the Americans with Disability Act (ADA). If not, the home-based business would not be compliant with Standard 7, which states a supplier must maintain a physical facility on an appropriate site.
  • Telephone: A dedicated phone line must be established for the business. A supplier may not use the same phone line for the home and the business. In addition the exclusive use of a mobile phone, beeper or answering service is strictly prohibited by Supplier Standard 9.
  • Record Keeping: The business is required to maintain and store certain records. The facility must be large enough to have appropriate storage.

The bottom line is that a home-based business must be able to show compliance with all supplier standards. More specific information on home-based businesses can be found on the NSC’s website.

Contact NSC

Email National Supplier Clearinghouse

Contact a specific NSC department

Telephone: 866-238-9652

IVR: 866-238-9652


National Supplier Clearinghouse

Palmetto GBA, AG-495

P.O. Box 100142

Columbia, SC 29202-3142

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