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2026 DME Final Rule Explained
Manage episode 524647298 series 3401731
We unpack the 2026 CMS DME final rule with an eye on what changes first, what it costs, and how suppliers can adapt without disrupting patient care. Annual surveys, stricter accreditation oversight, and targeted incentives reshape strategy, budgets, and daily operations.
• Annual surveys begin at next initial or reaccreditation after 1 January 2026
• Elimination of temporary accreditation before surveying new service locations
• CHOW events may trigger initial surveys and start annual cadence
• Prior authorization exemption for suppliers maintaining 90% approval
• Added products and remote item delivery in competitive bidding
• Increased CMS validation, AO reapproval, and continued sampling
• Faster complaint reporting and more granular data submission
• Clear rationale required when accepting corrective action plans
• Address changes and warehouse functions require survey planning
• Practical steps for budgeting, staffing, and strategic footprint decisions
Read the final rule. Listen to industry webinars and review our resources to understand the key elements and direct impact on suppliers.
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Chapters
1. Setting The Stage: DME Focus (00:00:00)
2. Why CMS Is Tightening Oversight (00:02:24)
3. Annual Survey Shift And Timeline (00:05:20)
4. Ending Temporary Accreditation (00:09:10)
5. CHOW Triggers Initial Surveys (00:12:23)
6. Prior Authorization Exemption Rules (00:15:08)
7. Data Reporting And Complaints (00:18:45)
8. Corrective Action Plans Scrutiny (00:22:15)
9. Competitive Bidding Adds Categories (00:25:20)
50 episodes
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