An Open Letter to DMEPOS Suppliers
From Teresa Harbour, CHAP’s COO
Dear Colleagues and Partners,
As we close out 2025 and look ahead to a new year, I want to speak directly to you, leaders, owners, and teams across the DMEPOS community, who are navigating a whirlwind of change. The release of the 2026 DMEPOS Home Health Final Rule (DMEPOS provisions) and recent developments with BOC have brought uncertainty, frustration, and, for many, difficult decisions. I want you to know you are not alone in this.
Change, Challenge, and Partnership
The 2026 Final Rule introduces requirements and oversight that are unprecedented for DME suppliers. Annual surveys, expanded reporting, and competitive bidding are reshaping the landscape. For many, these changes feel abrupt and overwhelming. At CHAP, we recognize that these are not just regulatory updates; they are real challenges impacting your operations, your teams, and the patients you serve.
The situation with BOC has added another layer of complexity. Many agencies now face the need to transition accreditation, often unexpectedly and at a time when resources are stretched. We understand that this is not a change you asked for, and it comes with financial, operational, and emotional burdens.
Our Commitment: Practical Support, Real Solutions
CHAP’s sole focus has always been on home and community-based care. We have walked beside providers through decades of regulatory change, and our standards are built to support you, not just in compliance, but in quality, growth, and operational stability.
Here’s what you can expect from us:
- Expert Guidance: Our team has deep experience interpreting and implementing final rules. We are committed to providing timely and clear communication as new guidance emerges.
- Flexible Payment Options: We offer interest-free payment plans, and we are expanding these options to include monthly options for agencies impacted by the BOC transition. Our goal is to ensure accreditation is accessible and does not slow your progress.
- Cost Savings: CHAP’s accreditation fees are now less expensive than BOC’s, and we offer additional discounts through DME associations. You can lock in your rate for three years, providing stability in uncertain times.
- Dedicated Support: We have reallocated internal resources to provide more one-on-one support, answer your questions, and help you plan your transition. Whether you operate a single site or hundreds of locations, our team is here for you.
- Smooth Transition: If your organization was compliant under BOC, you will find CHAP’s standards familiar and the transition straightforward. We provide a clear roadmap and practical tools to help you adapt with minimal disruption.
Listening First, Acting Together
We know that every provider’s situation is unique. Our approach is to listen first. What do you need from your accreditor? What support would make the difference for your team? We invite your feedback and questions, and we are committed to being responsive, transparent, and present throughout this process.
A Partner for the Road Ahead
CHAP is not just an accreditor; we are your partner in delivering exceptional care at home. Our standards are non-prescriptive and patient-centered, designed to empower innovation while ensuring compliance. We offer educational resources, specialty certifications, and growth solutions to help you thrive in a changing market.
If you are facing uncertainty, please don’t hesitate to reach out. We are here to help you find clarity, stability, and opportunity, even in the midst of change.
With respect and partnership,
Teresa Harbour
Chief Operating Officer
Community Health Accreditation Partner (CHAP)