CMS Pub. 100-04, ch. 17, § 100.4

The designated A/B MAC (B) shall follow normal procedures to enroll the Drug Vendors

as provider specialty type, 95, Competitive Acquisition Program (CAP) for Part B Drug

Vendors.

A separate 4 position, alpha-numeric vendor identification number (VIN) shall be

assigned to be used in the prescription number and a master list of which numbers are

assigned to which vendors shall be kept.

The designated A/B MACs (B) shall forward the VIN to the A/B MACs (B) and to CMS

14 days after new CAP vendor contractors have been announced by CMS. CMS will

post the VIN on the CMS Web site. A/B MACs (B) shall download these identification

codes from the CMS Web site and added them to the A/B MAC (B)’s table.

For subsequent CAP years, this date will be the first Monday in November.

These codes shall be added to the A/B MACs (B)’s table by 14 days after receipt.

The designated A/B MAC (B) shall track the name, the address, zip code, and phone

number of each practice location/shipping address (location where the drugs will be

administered), PIN, UPIN, (or NPI when effective), and e-mail (if available) of the

physicians and physician groups and which vendors and which drugs they have chosen.

In addition, the mailing/correspondence address (where the participating CAP physician

can be contacted directly) for each physician shall also be tracked. This information shall

be made available to CMS upon request.

On a quarterly basis, the designated A/B MAC (B) shall manually add additional HCPCS

codes to the information above when received from the A/B MACs (B). They shall add

this information by 14 days after its receipt from the A/B MACs (B).

The designated A/B MAC (B) shall only process CAP claims from approved drug

vendors submitted in the ASC X12 837 professional claim format. All vendor claims

shall be processed by the designated A/B MAC (B). These will not include claims for

United Mine Worker, Railroad or Medicare Advantage beneficiaries.