CMS-Deemed Accreditation
DMEPOS Certification

Board of Certification/Accreditation

CMS-Deemed Accreditation
DMEPOS Certification

Accreditation FAQs

What are the requirements to apply for accreditation?

Follow the steps outlined on the Apply for Accreditation page. It typically takes between 60 to 90 days to become accredited. The BOC Accreditation Team can help determine the most efficient path forward and provide pricing information.

What guidelines does my business need to follow to become and remain accredited?

You must comply with all of the standards listed in the BOC Accreditation Standards Guide, which includes the CMS Quality and Supplier Standards and the CMS DMEPOS Supplier Standards.

What should I expect during my on-site survey?

The BOC Team developed the Process of Accreditation video to help explain in detail what to expect.

A site surveyor – a contracted professional who assesses compliance of your business with required rules and regulations – will inspect your business location(s), required manuals, patient charts, and financial documents. During or following the survey, the surveyor may interview staff (W2 and independent contractors), beneficiaries and patients, and contracted entities. Please note that CMS DMEPOS Supplier Standard #8 specifies that the stated open hours must be accurate, and the owner or someone with accountability and authority must be available during open hours. Please be aware that if the supplier is not open, the surveyor will leave a note and the supplier will be charged a return visit fee to reschedule. Additionally, you must have a minimum of five patient files ready to be audited by the surveyor.

What if the site surveyor identifies areas that do not yet comply with CMS requirements?

BOC will notify you and explain any required action items. You will have 30 days to submit satisfactory proof of correction(s) to BOC. In some cases, an additional onsite visit may be required to verify that corrections have been made.

Can I start billing Medicare as soon as I become accredited by BOC?

To bill Medicare, you must obtain a Provider Transaction Number (PTAN). After earning accreditation, apply for a PTAN by submitting a Medicare Enrollment Application (CMS Form 855S), and a copy of your accreditation certificate to either National Provider East (Novitas Solutions) or National Provider West (Palmetto GBA) depending on your location. BOC submits a weekly report to Medicare listing the suppliers achieving accreditation, but BOC cannot influence how quickly NSC issues your PTAN.

What happens when my accreditation expires?

CMS requires reaccreditation every three years. BOC will contact you about your reaccreditation several months prior to expiration.

Once I am accredited, do I qualify as an NCOPE residency site?

BOC-accredited orthotic and prosthetic facilities are eligible to serve as NCOPE-accredited residency sites, assuming they meet all requirements established by NCOPE. For more information on becoming an NCOPE residency site, please visit the NCOPE website.

My business is BOC-accredited, and I am opening an additional location. Should I send BOC another accreditation application?
  • You need to apply for a new accreditation for that site and obtain a separate PTAN number if you will be caring for patients or providing DMEPOS products to patients at the new location.
  • You do not need a separate accreditation and PTAN number if you will not be serving patients in any way (e.g. the location is used for administration, manufacturing, or storage only).

In both cases, please notify BOC of the new location.

General 

How do I make payments and change information on my account?

If you a a BOC-certified professional, the fastest and most secure method to submit payments to BOC is by logging onto your MyBOC account.

MyBOC is not yet available to BOC-accredited facility personnel to manage account activity.

Have Questions? We Have Answers!

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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