# Medicare Program; Changes to the Competitive Acquisition of Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) by Certain Provisions of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA)
> **Centers for Medicare and Medicaid Services** · Interim final rule with comment period. · Published 2009-01-16 · Effective 2009-02-17 · 74 FR 2873
## Document
- **Document number:** E9-863
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 74 FR 2873
- **CFR reference:** 42 CFR 414
- **Publication date:** 2009-01-16
- **Effective date:** 2009-02-17
- **HHS docket:** CMS-1561-IFC
## Abstract

This interim final rule with comment period implements certain provisions of section 154 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) related to the durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) Competitive Acquisition Program. Specifically, this rule: Implements certain MIPPA provisions that delay implementation of Round 1 of the program; requires CMS to conduct a second Round 1 competition (the "Round 1 rebid") in 2009; and mandates certain changes for both the Round 1 rebid and subsequent rounds of the program, including a process for providing feedback to suppliers regarding missing financial documentation and requiring contractors to disclose to CMS information regarding subcontracting relationships.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2009/01/16/E9-863/medicare-program-changes-to-the-competitive-acquisition-of-certain-durable-medical-equipment)
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