For providers members who work with durable medical equipment (DME) suppliers, changes are coming to the program next calendar year. As part of its ongoing efforts to increase access to care and to reduce unnecessary administrative burden for stakeholders, the Centers for Medicare & Medicaid Services (CMS) will be discontinuing the use of Certificates of Medical Necessity (CMNs) and DME Information Forms (DIFs) for claims with dates of service on or after January 1, 2023. CMS suppliers must continue to submit CMN and DIF information for claims with dates of service before January 1, 2023 if it is required. Originally, CMS required the CMNs and DIFs to help document medical necessity and other coverage criteria for selected DME. Through stakeholder outreach, CMS received feedback that CMNs and DIFs are burdensome and duplicative of information already available on the claim or in the medical record. Additionally, CMS heard that submission of these forms is often particularly difficult for small or rural providers without administrative staff and technical support. In response to this feedback, CMS evaluated options for easing this process and determined it could end the use of these forms
