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M. BURR KEIM AGENCY · License & Permit Surety Bonds · Reviewed November 2026

Federal DMEPOS Surety Bond

A federal DMEPOS surety bond is a surety bond required by the Centers for Medicare & Medicaid Services before a durable medical equipment, prosthetics, orthotics, and supplies supplier can enroll in Medicare. It protects Medicare against fraudulent billing and other covered losses.

Apply for This Bond Online How to Apply Questions

At a glance

Product
Federal DMEPOS Surety Bond
Category
License & Permit Surety Bonds
Required amount
CMS generally requires a $50,000 surety bond for Medicare DMEPOS suppliers, subject to limited exceptions and enrollment rules. The required amount can change with CMS policy, and suppliers should confirm the current requirement in the Medicare enrollment application and CMS guidance.
Online issue
Instant issue with acceptable credit up to $50,000 for opticians, hospitals, clinics, skilled care facilities, dentists, orthotics, prosthetics, podiatrists, and physical therapists. Other supplier types and higher amounts may require underwriting review.
Term
DMEPOS bonds are generally continuous or annually renewed and must remain in force while the supplier is enrolled in Medicare. CMS requires the bond to be maintained without a gap, so coordinate renewal before the expiration date.

Who needs a federal DMEPOS Surety Bond?

  • Durable medical equipment, prosthetics, orthotics, and supplies suppliers enrolling in Medicare.
  • Opticians, hospitals, clinics, skilled care facilities, dentists, orthotic and prosthetic suppliers, podiatrists, and physical therapists that fit CNA Surety’s eligible supplier categories.
  • Medicare suppliers changing ownership, adding a location, or responding to a CMS revalidation request.

Why is a federal DMEPOS Surety Bond required?

CMS requires most Medicare DMEPOS suppliers to obtain and maintain a surety bond as a condition of enrollment. The bond gives Medicare a recovery source if the supplier bills for items or services that are not covered, submits false claims, or fails to meet other enrollment obligations.

The bond is not professional liability insurance or a substitute for the supplier’s compliance program. CMS sets the bond amount, the required bond form, and the rules for maintaining the bond during enrollment.

How much bond do I need?

CMS generally requires a $50,000 surety bond for Medicare DMEPOS suppliers, subject to limited exceptions and enrollment rules. The required amount can change with CMS policy, and suppliers should confirm the current requirement in the Medicare enrollment application and CMS guidance.

Instant issue with acceptable credit up to $50,000 for opticians, hospitals, clinics, skilled care facilities, dentists, orthotics, prosthetics, podiatrists, and physical therapists. Other supplier types and higher amounts may require underwriting review.

Bond amount is not the premium. The required amount is the maximum the surety could pay under the bond. The premium you pay is a separate charge based on the bond amount, the risk, the term, and your credit. The online application shows the premium before you bind coverage.

How much does a federal DMEPOS Surety Bond cost?

Premium depends on the bond amount, the supplier type, the term, and the applicant’s credit. The bond must generally remain in force for the entire Medicare enrollment period. Apply online for the current premium and to confirm eligibility for instant issue.

How to apply online

  1. Confirm the bond amount and obligee. Use the amount and legal name of the agency, court, client, or government entity that requires the bond. The obligee name must match the requiring party’s records.
  2. Gather the application information. Have the legal business or entity name, address, license or case number, ownership information, and the required bond amount ready.
  3. Start the CNA Surety application. Use the online application link on this page. The link includes the M. BURR KEIM AGENCY app code and agency code, so the application is routed to our agency.
  4. Pay the premium and bind coverage. If the bond is eligible for instant issue, the application will show the premium and let you complete the purchase online. Otherwise, the surety will review the application and contact you if additional information is needed.
  5. File the bond. Provide the issued bond to the agency, court, client, or government entity that requires it, and keep a copy for your records.
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Federal DMEPOS Surety Bond term and renewal

DMEPOS bonds are generally continuous or annually renewed and must remain in force while the supplier is enrolled in Medicare. CMS requires the bond to be maintained without a gap, so coordinate renewal before the expiration date.

Good to know

  • The CMS-required bond form and the obligee must match the Medicare enrollment requirements. Use the online application and confirm the form with CMS guidance before submitting.
  • If the supplier changes ownership or adds a location, CMS may require a new or updated bond. Review the enrollment rules before making the change.

Federal DMEPOS Surety Bond questions

A federal DMEPOS surety bond is a surety bond required by the Centers for Medicare & Medicaid Services before a durable medical equipment, prosthetics, orthotics, and supplies supplier can enroll in Medicare. It protects Medicare against fraudulent billing and other covered losses.

Durable medical equipment, prosthetics, orthotics, and supplies suppliers enrolling in Medicare. Opticians, hospitals, clinics, skilled care facilities, dentists, orthotic and prosthetic suppliers, podiatrists, and physical therapists that fit CNA Surety’s eligible supplier categories. Medicare suppliers changing ownership, adding a location, or responding to a CMS revalidation request.

Premium depends on the bond amount, the supplier type, the term, and the applicant’s credit. The bond must generally remain in force for the entire Medicare enrollment period. Apply online for the current premium and to confirm eligibility for instant issue.

CMS generally requires a $50,000 surety bond for Medicare DMEPOS suppliers, subject to limited exceptions and enrollment rules. The required amount can change with CMS policy, and suppliers should confirm the current requirement in the Medicare enrollment application and CMS guidance. Instant issue with acceptable credit up to $50,000 for opticians, hospitals, clinics, skilled care facilities, dentists, orthotics, prosthetics, podiatrists, and physical therapists. Other supplier types and higher amounts may require underwriting review.

Apply online through CNA Surety using the application link on this page. The link includes the M. BURR KEIM AGENCY app code and agency code, so the application is routed to our agency. Complete the application, pay the premium online if the bond is eligible for instant issue, and then file the bond with the agency, court, or client that requires it.

CMS provides limited exceptions for certain supplier types and circumstances, and the rules can change. Do not assume an exemption applies. Review the current CMS enrollment guidance or ask the Medicare administrative contractor before submitting an enrollment application.

The bond must generally remain in force for the entire period the supplier is enrolled in Medicare. A gap or cancellation can affect enrollment, so renew or replace the bond before it expires.

Online application and important note

Bond requirements, forms, amounts, and fees are set by the requiring agency, court, or carrier and can change. This page is general information, not legal advice. Confirm the current requirement with the agency, court, client, or your attorney before applying. M. BURR KEIM AGENCY is an insurance and surety bond agency; the bond or policy is issued by the carrier named on the document.