CMS Termination of BOC as a DMEPOS Accreditation Organization
01/06/2026
CMS Withdraws BOC DMEPOS Accreditation Authority: Immediate Action Required
Effective: December 2, 2025 | Applies to: All DMEPOS suppliers accredited by BOC
The Centers for Medicare & Medicaid Services (CMS) has withdrawn approval of the Board of Certification/Accreditation, International (BOC) as an accreditation organization for suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). Effective December 2, 2025, BOC no longer has authority to perform any accreditation activities for Medicare enrollment purposes.
What BOC Can No Longer Do
As of December 2, 2025, BOC cannot:
- Review suppliers for CMS quality standards compliance
- Process pending accreditation applications
- Perform reaccreditation activities
- Survey or accredit new locations
- Survey or accredit for new products
- Execute any other functions as a CMS-approved accreditation organization
Impact on Current BOC-Accredited Suppliers
Existing accreditation remains valid: If your facility was accredited by BOC prior to December 2, 2025, that accreditation remains valid for three years from the original accreditation date. However, you cannot use BOC for reaccreditation when your current accreditation expires.
Transition required for: Suppliers who need to:
- Renew expiring accreditation
- Change facility location
- Update ownership information
- Add new products to existing accreditation
- Modify any other DMEPOS accreditation information
These suppliers must obtain accreditation from a CMS-approved organization before making any changes or renewals.
Impact on Prospective Suppliers
DMEPOS suppliers currently in the BOC accreditation process must immediately seek accreditation from an alternative CMS-approved organization to complete Medicare enrollment. BOC cannot finalize any pending applications, including those already surveyed prior to December 2, 2025.
CMS-Approved DMEPOS Accreditation Organizations
The following seven organizations remain CMS-approved for DMEPOS accreditation:
- Accreditation Commission for Health Care (ACHC)
- American Board for Certification in Orthotics, Prosthetics & Pedorthics (ABC)
- Community Health Accreditation Program (CHAP)
- Healthcare Quality Association on Accreditation (HQAA)
- Joint Commission (JC)
- National Board for Respiratory Care (NBRC)
- Compliance Team (CT)
Current list available at: https://www.cms.gov/files/document/dmepos-accreditation-organizations.pdf
Required Action: Update Medicare Enrollment
Suppliers who obtain new accreditation from a CMS-approved organization must update Medicare enrollment within 30 days by submitting Form CMS-855S:
Online submission: https://pecos.cms.hhs.gov
Mail submission: Send paper CMS-855S to your National Provider Enrollment Contractor: https://www.cms.gov/medicare/provider-enrollment-and-certification/medicareprovidersupenroll/downloads/contact_list.pdf
Additional Context
This withdrawal follows CMS's November 2025 final rule requiring annual (rather than triennial) DMEPOS supplier reaccreditation effective January 1, 2026. However, suppliers with current three-year accreditations issued before January 1, 2026, will complete their existing cycles before transitioning to annual reaccreditation.
In June 2025, BOC and CMS had agreed to a three-year suspension of new accreditation and reaccreditation applications in Florida, Texas, California, and New York following misconduct by a former independent contractor. The December 2 withdrawal represents a complete termination of BOC's accreditation authority nationwide.
BOC has filed a lawsuit (Board of Certification/Accreditation International, Inc. v. Robert F. Kennedy, Jr. et al, Case No. 1:25-cv-04150-MJM, U.S. District Court of Maryland) challenging the withdrawal, describing CMS's action as "abrupt" and stating the agency "refus[ed] to have verbal conversations with BOC before withdrawing BOC's deemed status."
Important Notes
- BOC certifications remain valid: Individual professional certifications (e.g., BOC-certified practitioners) continue to be recognized by CMS, private payers, and state regulatory bodies. This withdrawal affects only organizational accreditation for DMEPOS suppliers.
- Medicare billing privileges at risk: Suppliers without active CMS-approved accreditation cannot maintain Medicare billing privileges. Address reaccreditation needs immediately to avoid enrollment complications.
Provider Support
CMS DMEPOS Accreditation Questions: dmeaccreditation@cms.hhs.gov
CMS MLN Fact Sheet on DMEPOS Accreditation: https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnproducts/downloads/dmepos_accreditation_factsheet_icn905063.pdf
BOC Customer Support (for certification questions only):Contact BOC directly at www.bocusa.org
Suppliers should verify accreditation expiration dates and begin transition planning immediately to ensure uninterrupted Medicare billing privileges.