US · guidance
CMS Pub. 100-04, ch. 36, § 40.3.3
Accessories and Supplies for Grandfathered Items
Accessories and supplies that are used in conjunction with and are necessary for the effective use
of a grandfathered item may be furnished by the same grandfathered supplier that furnishes the
grandfathered item. Examples of medically necessary accessories and supplies used in
conjunction with DMEPOS items include tubes, hoses, and masks with respiratory equipment
and administration sets with infusion pumps. Payment for these items to a grandfathered
supplier is based on the single payment amount if the item is a competitive bid item for the CBA
in which the beneficiary maintains a permanent residence (see §36.40.1 of chapter 20 in this
manual). If the item is not a competitive bidding item, payment will be made in accordance with
the standard payment rules.
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
5708b9ae2b869b0b1244f5c6cb9a6bf273f5cabe5aab4a478d6278a0e13b3827
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