Competitive Bidding Program

Key Provisions

VGM News

CMS Resources

Other Industry News and Resources

Provider Tools

The Competitive Bidding Program (CBP) is a major policy that affects how Medicare pays for home medical equipment. At VGM, we’re working tirelessly to ensure that CBP policies enhance, rather than hinder, access to quality care.

With new rules on the horizon, VGM and our partners are leading a nationwide effort to educate lawmakers, raise public awareness, and advocate for meaningful reforms that protect patients and support the DMEPOS community. Whether you're a provider, patient, or advocate, your voice is vital in shaping the future of this program. This page offers comprehensive information on the final rule, upcoming policy changes, key timelines and bid items (as they become available), along with essential resources, bidding tools, and the latest industry news on advocacy efforts to protect patient access and support our members.

VGM has stood with the DMEPOS industry through every round of competitive bidding—and this time is no different. We remain committed to guiding and supporting suppliers throughout the process with the tools, resources, and advocacy needed to navigate what’s ahead.

Key CBP Provisions in the Final Rule

• New Product Categories
• Payment category change for CGM II and Insulin Pumps
• New Remote Item Delivery (RID) CBP
• Continuing lead item methodology
• Revised Single Payment Amount (SPA) Calculation
• Revised Method for Big Ceiling
• Allows for reduction in the number of contracts awarded per product category
• Bid submission consolidated into one platform
• Reduced Financial Documentation Requirement
• New Contract Termination Clause

Other Key Provisions in the Final Rule

• Requires DME suppliers to have annual survey and reaccreditation instead of every three years
• Revises provider enrollment provisions
• Creates prior authorization exemption program

VGM News

• CMS Finalizes Rule Changing The Next Round Of The Competitive Bidding Program And Updating Other Provisions Related To Provider Enrollment And Prior Authorization
• Make Your Voice Heard on the Competitive Bidding Program
• Deadline To Comment on CMS' Proposed Rule Is Today
• Industry Uncertainty & Advocacy: What You Can Do Now
• Survey: Share Views on Accreditation Rule Changes
• Proposed Rule May Reshape Accreditation Standards
• CMS Releases Proposed Rule on Next Competitive Bidding Round
• 2025 CMS Proposed Rule Challenges and To-Dos

CMS Resources

• Final Rule
• CMS Fact Sheet on Final Rule 11/28/25
• CMS Releases Proposed Rule on Next Competitive Bidding Round
• The full proposed rule
• Federal Register announcement of Proposed Rule
• CMS Proposed Rule Fact Sheet

Other Industry News and Resources

• Letter to CMS Administrator, Dr. Oz from Reps. Meuser and Miller-Meeks
• Sens. Shaheen and Collins, Reps. DeGette and Bilirakis Warn Administration Against Proposal That Could Harm Diabetic Patients’ Access to Glucose Monitors, Insulin Pumps 10.27.25
• Industry letter to CMS Dr. Oz, sent October 2025
• AAHomecare’s CBP Engagement Toolkit

Tools

• Calculators (coming soon)
• Maps (coming soon)
• Webinar Recordings
  • Understanding the Final Rule on the DMEPOS Competitive Bidding Program
    • Featured Experts: 
      • Melanie Ewald – VP of Payer Relations & Reimbursement 
      • Ronda Buhrmester – Sr. Director of Payer Relations & Reimbursement 
      • Kelly Grahovac – General Manager, The van Halem Group 
    • This team has spent countless hours analyzing the Final Rule to provide you with the most accurate and actionable insights. They’ll walk you through the bidding program process and answer your questions live. Don’t miss this opportunity to stay informed and prepared!
    • Download the session handout here.