CMS-Deemed Accreditation
DMEPOS Certification

Board of Certification/Accreditation

CMS-Deemed Accreditation
DMEPOS Certification

Exam Study Resources

Exam Content Outlines

Every five years, BOC conducts a job task analysis for each of its certifications. Performed by a team of experts, our job task analyses provide insights into any improvements and changes that have occurred in the profession. This helps us update our exams to be both current and relevant.

Based on the job task analyses, BOC develops Detailed Content Outlines to formulate the candidate examinations. All questions, case simulations, and demonstrations required by BOC exams are derived directly from these content outlines.

In order to prepare for your exam effectively, study the applicable content outline:

Orthotic Fitter Detailed Content Outline and Outline Instructions

Mastectomy Fitter Detailed Content Outline and Outline Instructions

DME Specialist Detailed Content Outline and Outline Instructions

Self-Assessment Examinations (SAE)

SAEs for Certified Orthotic Fitter (COF) and the Certified Mastectomy Fitter (CMF) are available at no charge to applicants.

You’ll receive access to the SAEs when your application is processed. If you have any questions, please email the Certification Team.

Please Note: SAEs are not a predictor of test outcome.

 

 

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December 18, 2025

Statement from Board of Certification/Accreditation (BOC) Regarding Facility Accreditation

Note: All BOC certification programs remain relevant and valid for the thousands of providers holding BOC credentials.

The Board of Certification/Accreditation (BOC) confirms that the Centers for Medicare and Medicaid Services (CMS) notified BOC of its decision to immediately withdraw BOC’s status as a ‘deemed’ accrediting organization (AO) effective December 2, 2025.

BOC has sought guidance from CMS on how CMS plans to operationalize this abrupt change for BOC's customers. CMS advised that all inquiries regarding impact on supplier Medicare enrollment should be directed to the following email inbox: dmeaccreditation@cms.hhs.gov.

Those who value accreditation and are committed to DMEPOS product access and patient safety understand that accreditation operations cannot be abruptly halted without resulting in a negative impact on DMEPOS suppliers and the patients/beneficiaries they serve.

In response to CMS' abrupt termination, BOC has filed Board of Certification/Accreditation International, Inc. v. Robert F. Kennedy, Jr. et al, Case No. 1:25-cv-04150-MJM, in the United States District Court of Maryland.

Since December 2, our focus has been on the DMEPOS customers most immediately impacted: new and reaccrediting facilities in the midst of completing the final requirements to confirm compliance and receive accreditation. Some of these customers were surveyed weeks prior to CMS issuing the December 2 notice of withdrawal.

BOC is dismayed by the actions of CMS, particularly with its refusal to have verbal conversations with BOC before withdrawing BOC's deemed status.

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