US · guidance
CMS Pub. 100-04, ch. 36, § 20.5.2
Skilled Nursing Facilities (SNFs) and Nursing Facilities (NFs)
The Medicare DMEPOS Competitive Bidding Program applies to SNFs and NFs located in a
CBA to the extent their residents receive competitively bid items under Medicare Part B. Unlike
most suppliers, SNFs and NFs have the option to bid for, and be awarded, contracts to be
“specialty suppliers” that only furnish competitively bid items to their own residents. SNFs and
NFs may elect to submit a bid as a specialty supplier by indicating on the RFB that they will only
furnish competitive bid items to their own residents. Any SNF or NF awarded a contract would
be paid the single payment amount for those items. SNFs and NFs that elect to be specialty
suppliers may not furnish competitively bid items and services to Medicare beneficiaries outside
their facilities for purposes of Medicare payment. If a SNF or NF is not awarded a contract, it
must use a contract supplier for the CBA to furnish competitively bid items to its residents.
SNFs and NFs can also become regular contract suppliers that furnish competitively bid items to
beneficiaries throughout a CBA.
If a SNF or NF is not a contract supplier (either a specialty contract supplier or a regular contract
supplier), it must use a contract supplier for its CBA to furnish competitively bid items to its
residents.
History
(Rev. 1502; Issued: 05-09-08; Effective/Implementation Date: 06-09-08)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
ec8474a8e7c14746d22839a5836a76474a854fbe9d966dbfd65ba62a59c14055
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