American Association For Homecare

Competitive Bidding Implementation Feedback Form
(For Providers)

AAHomecare is encouraging providers who are experiencing problems related to implementation of Round One of the competitive bidding program to contact the Association with information about the specifics of those issues through the submission form below. Your comments will allow AAHomecare to identify patterns of problems which are causing harm or confusion for beneficiaries or providers. This information will be conveyed to CMS and members of Congress. AAHomecare will continue to keep the HME industry informed of the progress on these issues.

For further questions or comments, please contact Tilly Gambill at tillyg@aahomecare.org or (703) 535-1896.

Antitrust Disclaimer: The antitrust laws prohibit competitors from engaging in actions that could result in an unreasonable restraint of trade. Please review AAHomecare’s antitrust policy.

* red asterisk indicates required field

Name *

Company *

Address *

Address 2

City *

State/Province *

Zip Code *

Phone Number

E-mail Address

In which Competitive Bidding Area (CBA) location(s) are you having problems?

Which best describes your situation?

What competitively bid products are you currently providing?
(Hold CTRL to select multiple items)

What is your problem related to?
(Hold CTRL to select multiple items) *

If your problem is beneficiary-related, what is the beneficiary's zip code?

Please provide details of the problem you are experiencing. *

Are you an AAHomecare member? *

Are you willing to allow us to share your name and contact information with CMS, Congress or with the media?

Please enter the text from the image above:

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American Association for Homecare
2011 Crystal Drive, Suite 725, Arlington, Virginia 22202
(p) 703.836.6263 - (f) 703.836.6730
info@aahomecare.org