OMB control number

Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program – Contracting Forms (CMS-10744)

OMB 0938-1408 · HHS/CMS.

OMB 0938-1408

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10744.Change o Change of Ownership Form and Instruction
Form CMS-10744 Subcontracting Form and Instruction
Form CMS-10744. Form C Form C Form and Instruction
CMS-10744.Function Fields Updated.xlsx Supplementary Document
CMS-10744.SupportingStatementPartA (final).docx Supporting Statement A
Grandfathering Instruction
Change of Ownership Form and Instruction
Subcontracting Form and Instruction
Form C Form and Instruction

All Historical Document Collections

202011-0938-001

2020-11-05