Medicare's DMEPOS bond is federal and uniform — $50,000 per NPI in every jurisdiction, no exceptions by geography. But DMEPOS suppliers do not bill Medicare alone, and the state Medicaid programs they also serve set their own provider-enrollment security requirements: some impose surety bonds of their own, some impose alternative security, some impose none, and all of them amend their rules on their own schedules. This hub indexes our jurisdiction-by-jurisdiction analysis — all fifty states, the District of Columbia, and Puerto Rico.
How to Use This Index
Each jurisdiction page covers the same two layers: the federal § 424.57(d) obligation as it applies to that state's suppliers — which is uniform, and which we state plainly rather than pretending it varies — and the state Medicaid overlay, identifying the program and administering agency and how the state-side security question is resolved at quote. Where a state maintains a well-established Medicaid DME bond of long standing, such as Texas and Florida, the page says so explicitly. Where requirements are set by provider manuals and enrollment bulletins that revise frequently, we verify the live requirement as part of every quote rather than publish figures that age out — a practice that matters more in this class than in any other we underwrite, because a supplier that posts yesterday's bond amount has not satisfied today's enrollment condition.
The Dual-Program Principle
The structural point that repeats across every jurisdiction: Medicare and Medicaid bonds are separate instruments with separate obligees, but the underwriting behind them should be unified. One application, one financial package, one indemnity execution, one renewal calendar — supporting however many instruments the supplier's programs require. Suppliers who arrive with bonds scattered across agencies leave with one consolidated program, and the consolidation is usually worth money as well as administration.
Federal authority: 42 CFR § 424.57(d). State requirements are established by each jurisdiction's Medicaid provider-enrollment rules and verified current at quote.