CMS Blum Coming to MO to Tour Rural Washington County!

   We Need You May 21st!

To all MAMES Members,

MAMES Executive Committee member, Patrick Naeger, of Healthcare Equipment & Supply Co., in Missouri, has been working with Missouri Congresswoman Jo Ann Emerson’s (R-8th) office on problems associated with inclusion of rural areas for DMEPOS competitive bidding.

Congresswoman Emerson has been able to get CMS’ Deputy Administrator and Director, Jonathan Blum, to tour the Potosi, Missouri area in Washington County, which is included in the St Louis Competitive Bidding area. The plan is to educate CMS about the problems of including rural areas in competitive bidding. For instance, St. Louis County has 1600 people per square mile. In Washington Co. there are only 33 people per square miles, which include the city of Potosi which has a population of 2,700. The irony of this is that the total square miles for St. Louis County is 507 compared to Washington Co. at 759 Square miles. Obviously, Washington County Missouri is anything but urban or suburban, plainly, it is rural and clearly the cost to deliver services to these beneficiaries is much greater than that of those located in St. Louis County.

This is merely one issue that makes this program so flawed and severely jeopardizes those folks who live in rural portions of these CBA’s and put them at risk at not having adequate access to DME.

This is a chance to have our voices heard regarding the problems with the current competitive bidding program!


We need as many MAMES members at this event as possible! We have a very unique opportunity to show CMS firsthand the problems this is causing for you, your company, and your customers of including rural areas in the competitive bidding program!

We need at least 100 people to show up at this event!

Please see the details below and RSVP ASAP to the MAMES office, email:, your company name and number of people you will be able to bring with you. It would be very beneficial to have suppliers and patients at the event.

Date: Monday, May 21st

Time and location:

1:00 – Meet in lobby of the Washington County Memorial Hospital, 300 Health Way, Potosi, Missouri. Overview of the afternoon.

1:30 – Roundtable discussion with local providers and hospital administrators at Washington County Memorial Hospital

300 Health Way, Potosi, Missouri.

3:00 – Pharmacy visit in Potosi, MO.

4:00 – departure for St. Louis for Deputy Administrator Blum.

MAMES – Serving Members since 1982

Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and South Dakota