If you’ve heard rumblings that Medicare’s competitive bidding program is coming back, you heard right—and this time it reaches directly into O&P. CMS finalized its 2026 home health and DMEPOS rule in late 2025, officially restarting the Competitive Bidding Program with new contracts targeted for January 1, 2028. Unlike some CMS initiatives that are all noise for years before anything changes, this one has a real timeline and a real list of products—and three of those seven categories are squarely in your world.
CMS has named seven national product categories for the 2028 round, built around what it calls remote item delivery (RID), items that can be shipped to a patient anywhere in the country by mail, rather than requiring a local fitting. Four of those categories are diabetes and urology-related supplies. The other three are ours:
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