HME Industry Provider COVID-19 Survey

AAHomecare is conducting a survey to gather DME provider information on how COVID-19 has affected operational costs and the ability to obtain Durable Medical Equipment (DME) and supplies, if at all. Please be assured that your individual company data/responses will remain confidential. This information will be shared in aggregate with the Centers for Medicare and Medicaid Services (CMS) as it evaluates the DME Industry landscape and considers any further regulatory relief needed to protect patient access. Please complete the survey by close of business on Tuesday, 4/21/20.

	Yes (Delays/Cancellations)	No	N/A
Personal Protective Equipment	Personal Protective Equipment Yes (Delays/Cancellations)	Personal Protective Equipment No	Personal Protective Equipment N/A
Oxygen Equipment	Oxygen Equipment Yes (Delays/Cancellations)	Oxygen Equipment No	Oxygen Equipment N/A
Ventilators (Invasive & Non-Invasive)	Ventilators (Invasive & Non-Invasive) Yes (Delays/Cancellations)	Ventilators (Invasive & Non-Invasive) No	Ventilators (Invasive & Non-Invasive) N/A
Nebulizers	Nebulizers Yes (Delays/Cancellations)	Nebulizers No	Nebulizers N/A
CPAPs/RADs	CPAPs/RADs Yes (Delays/Cancellations)	CPAPs/RADs No	CPAPs/RADs N/A
Hospital Beds	Hospital Beds Yes (Delays/Cancellations)	Hospital Beds No	Hospital Beds N/A
Support Surfaces	Support Surfaces Yes (Delays/Cancellations)	Support Surfaces No	Support Surfaces N/A
Enteral Nutrition	Enteral Nutrition Yes (Delays/Cancellations)	Enteral Nutrition No	Enteral Nutrition N/A
Negative Pressure Wound Therapy Pumps/Supplies	Negative Pressure Wound Therapy Pumps/Supplies Yes (Delays/Cancellations)	Negative Pressure Wound Therapy Pumps/Supplies No	Negative Pressure Wound Therapy Pumps/Supplies N/A
Patient Lifts/Seat Lifts	Patient Lifts/Seat Lifts Yes (Delays/Cancellations)	Patient Lifts/Seat Lifts No	Patient Lifts/Seat Lifts N/A
Manual Wheelchairs	Manual Wheelchairs Yes (Delays/Cancellations)	Manual Wheelchairs No	Manual Wheelchairs N/A
Standard Power Wheelchairs	Standard Power Wheelchairs Yes (Delays/Cancellations)	Standard Power Wheelchairs No	Standard Power Wheelchairs N/A
Complex Rehab Technology Wheelchairs/Accessories	Complex Rehab Technology Wheelchairs/Accessories Yes (Delays/Cancellations)	Complex Rehab Technology Wheelchairs/Accessories No	Complex Rehab Technology Wheelchairs/Accessories N/A
Walkers	Walkers Yes (Delays/Cancellations)	Walkers No	Walkers N/A
Medical Supplies (ex. Ostomy, Urologicals, Woundcare)	Medical Supplies (ex. Ostomy, Urologicals, Woundcare) Yes (Delays/Cancellations)	Medical Supplies (ex. Ostomy, Urologicals, Woundcare) No	Medical Supplies (ex. Ostomy, Urologicals, Woundcare) N/A

Yes (Delays/Cancellations)

N/A

Personal Protective Equipment

Personal Protective Equipment Yes (Delays/Cancellations)

Personal Protective Equipment No

Personal Protective Equipment N/A

Oxygen Equipment

Oxygen Equipment Yes (Delays/Cancellations)

Oxygen Equipment No

Oxygen Equipment N/A

Ventilators (Invasive & Non-Invasive)

Ventilators (Invasive & Non-Invasive) Yes (Delays/Cancellations)

Ventilators (Invasive & Non-Invasive) No

Ventilators (Invasive & Non-Invasive) N/A

Nebulizers

Nebulizers Yes (Delays/Cancellations)

Nebulizers No

Nebulizers N/A

CPAPs/RADs

CPAPs/RADs Yes (Delays/Cancellations)

CPAPs/RADs No

CPAPs/RADs N/A

Hospital Beds

Hospital Beds Yes (Delays/Cancellations)

Hospital Beds No

Hospital Beds N/A

Support Surfaces

Support Surfaces Yes (Delays/Cancellations)

Support Surfaces No

Support Surfaces N/A

Enteral Nutrition

Enteral Nutrition Yes (Delays/Cancellations)

Enteral Nutrition No

Enteral Nutrition N/A

Negative Pressure Wound Therapy Pumps/Supplies

Negative Pressure Wound Therapy Pumps/Supplies Yes (Delays/Cancellations)

Negative Pressure Wound Therapy Pumps/Supplies No

Negative Pressure Wound Therapy Pumps/Supplies N/A

Patient Lifts/Seat Lifts

Patient Lifts/Seat Lifts Yes (Delays/Cancellations)

Patient Lifts/Seat Lifts No

Patient Lifts/Seat Lifts N/A

Manual Wheelchairs

Manual Wheelchairs Yes (Delays/Cancellations)

Manual Wheelchairs No

Manual Wheelchairs N/A

Standard Power Wheelchairs

Standard Power Wheelchairs Yes (Delays/Cancellations)

Standard Power Wheelchairs No

Standard Power Wheelchairs N/A

Complex Rehab Technology Wheelchairs/Accessories

Complex Rehab Technology Wheelchairs/Accessories Yes (Delays/Cancellations)

Complex Rehab Technology Wheelchairs/Accessories No

Complex Rehab Technology Wheelchairs/Accessories N/A

Walkers

Walkers Yes (Delays/Cancellations)

Walkers No

Walkers N/A

Medical Supplies (ex. Ostomy, Urologicals, Woundcare)

Medical Supplies (ex. Ostomy, Urologicals, Woundcare) Yes (Delays/Cancellations)

Medical Supplies (ex. Ostomy, Urologicals, Woundcare) No

Medical Supplies (ex. Ostomy, Urologicals, Woundcare) N/A

	Up to 30 Days	31-60 Days	61-90 Days	91-120 Days	120+ Days	No Known Timeframe	N/A
Personal Protective Equipment	Personal Protective Equipment Up to 30 Days	Personal Protective Equipment 31-60 Days	Personal Protective Equipment 61-90 Days	Personal Protective Equipment 91-120 Days	Personal Protective Equipment 120+ Days	Personal Protective Equipment No Known Timeframe	Personal Protective Equipment N/A
Oxygen Equipment	Oxygen Equipment Up to 30 Days	Oxygen Equipment 31-60 Days	Oxygen Equipment 61-90 Days	Oxygen Equipment 91-120 Days	Oxygen Equipment 120+ Days	Oxygen Equipment No Known Timeframe	Oxygen Equipment N/A
Ventilators (Invasive & Non-Invasive)	Ventilators (Invasive & Non-Invasive) Up to 30 Days	Ventilators (Invasive & Non-Invasive) 31-60 Days	Ventilators (Invasive & Non-Invasive) 61-90 Days	Ventilators (Invasive & Non-Invasive) 91-120 Days	Ventilators (Invasive & Non-Invasive) 120+ Days	Ventilators (Invasive & Non-Invasive) No Known Timeframe	Ventilators (Invasive & Non-Invasive) N/A
Nebulizers	Nebulizers Up to 30 Days	Nebulizers 31-60 Days	Nebulizers 61-90 Days	Nebulizers 91-120 Days	Nebulizers 120+ Days	Nebulizers No Known Timeframe	Nebulizers N/A
CPAPs/RADs	CPAPs/RADs Up to 30 Days	CPAPs/RADs 31-60 Days	CPAPs/RADs 61-90 Days	CPAPs/RADs 91-120 Days	CPAPs/RADs 120+ Days	CPAPs/RADs No Known Timeframe	CPAPs/RADs N/A
Hospital Beds	Hospital Beds Up to 30 Days	Hospital Beds 31-60 Days	Hospital Beds 61-90 Days	Hospital Beds 91-120 Days	Hospital Beds 120+ Days	Hospital Beds No Known Timeframe	Hospital Beds N/A
Support Surfaces	Support Surfaces Up to 30 Days	Support Surfaces 31-60 Days	Support Surfaces 61-90 Days	Support Surfaces 91-120 Days	Support Surfaces 120+ Days	Support Surfaces No Known Timeframe	Support Surfaces N/A
Enteral Nutrition	Enteral Nutrition Up to 30 Days	Enteral Nutrition 31-60 Days	Enteral Nutrition 61-90 Days	Enteral Nutrition 91-120 Days	Enteral Nutrition 120+ Days	Enteral Nutrition No Known Timeframe	Enteral Nutrition N/A
Negative Pressure Wound Therapy Pumps/Supplies	Negative Pressure Wound Therapy Pumps/Supplies Up to 30 Days	Negative Pressure Wound Therapy Pumps/Supplies 31-60 Days	Negative Pressure Wound Therapy Pumps/Supplies 61-90 Days	Negative Pressure Wound Therapy Pumps/Supplies 91-120 Days	Negative Pressure Wound Therapy Pumps/Supplies 120+ Days	Negative Pressure Wound Therapy Pumps/Supplies No Known Timeframe	Negative Pressure Wound Therapy Pumps/Supplies N/A
Patient Lifts/Seat Lifts	Patient Lifts/Seat Lifts Up to 30 Days	Patient Lifts/Seat Lifts 31-60 Days	Patient Lifts/Seat Lifts 61-90 Days	Patient Lifts/Seat Lifts 91-120 Days	Patient Lifts/Seat Lifts 120+ Days	Patient Lifts/Seat Lifts No Known Timeframe	Patient Lifts/Seat Lifts N/A
Manual Wheelchairs	Manual Wheelchairs Up to 30 Days	Manual Wheelchairs 31-60 Days	Manual Wheelchairs 61-90 Days	Manual Wheelchairs 91-120 Days	Manual Wheelchairs 120+ Days	Manual Wheelchairs No Known Timeframe	Manual Wheelchairs N/A
Standard Power Wheelchairs	Standard Power Wheelchairs Up to 30 Days	Standard Power Wheelchairs 31-60 Days	Standard Power Wheelchairs 61-90 Days	Standard Power Wheelchairs 91-120 Days	Standard Power Wheelchairs 120+ Days	Standard Power Wheelchairs No Known Timeframe	Standard Power Wheelchairs N/A
Complex Rehab Technology Wheelchairs/Accessories	Complex Rehab Technology Wheelchairs/Accessories Up to 30 Days	Complex Rehab Technology Wheelchairs/Accessories 31-60 Days	Complex Rehab Technology Wheelchairs/Accessories 61-90 Days	Complex Rehab Technology Wheelchairs/Accessories 91-120 Days	Complex Rehab Technology Wheelchairs/Accessories 120+ Days	Complex Rehab Technology Wheelchairs/Accessories No Known Timeframe	Complex Rehab Technology Wheelchairs/Accessories N/A
Walkers	Walkers Up to 30 Days	Walkers 31-60 Days	Walkers 61-90 Days	Walkers 91-120 Days	Walkers 120+ Days	Walkers No Known Timeframe	Walkers N/A
Medical Supplies (ex. Ostomy, Urologicals, Woundcare)	Medical Supplies (ex. Ostomy, Urologicals, Woundcare) Up to 30 Days	Medical Supplies (ex. Ostomy, Urologicals, Woundcare) 31-60 Days	Medical Supplies (ex. Ostomy, Urologicals, Woundcare) 61-90 Days	Medical Supplies (ex. Ostomy, Urologicals, Woundcare) 91-120 Days	Medical Supplies (ex. Ostomy, Urologicals, Woundcare) 120+ Days	Medical Supplies (ex. Ostomy, Urologicals, Woundcare) No Known Timeframe	Medical Supplies (ex. Ostomy, Urologicals, Woundcare) N/A

Up to 30 Days

31-60 Days

61-90 Days

91-120 Days

120+ Days

No Known Timeframe

N/A

Personal Protective Equipment

Personal Protective Equipment Up to 30 Days

Personal Protective Equipment 31-60 Days

Personal Protective Equipment 61-90 Days

Personal Protective Equipment 91-120 Days

Personal Protective Equipment 120+ Days

Personal Protective Equipment No Known Timeframe

Personal Protective Equipment N/A

Oxygen Equipment

Oxygen Equipment Up to 30 Days

Oxygen Equipment 31-60 Days

Oxygen Equipment 61-90 Days

Oxygen Equipment 91-120 Days

Oxygen Equipment 120+ Days

Oxygen Equipment No Known Timeframe

Oxygen Equipment N/A

Ventilators (Invasive & Non-Invasive)

Ventilators (Invasive & Non-Invasive) Up to 30 Days

Ventilators (Invasive & Non-Invasive) 31-60 Days

Ventilators (Invasive & Non-Invasive) 61-90 Days

Ventilators (Invasive & Non-Invasive) 91-120 Days

Ventilators (Invasive & Non-Invasive) 120+ Days

Ventilators (Invasive & Non-Invasive) No Known Timeframe

Ventilators (Invasive & Non-Invasive) N/A

Nebulizers

Nebulizers Up to 30 Days

Nebulizers 31-60 Days

Nebulizers 61-90 Days

Nebulizers 91-120 Days

Nebulizers 120+ Days

Nebulizers No Known Timeframe

Nebulizers N/A

CPAPs/RADs

CPAPs/RADs Up to 30 Days

CPAPs/RADs 31-60 Days

CPAPs/RADs 61-90 Days

CPAPs/RADs 91-120 Days

CPAPs/RADs 120+ Days

CPAPs/RADs No Known Timeframe

CPAPs/RADs N/A

Hospital Beds

Hospital Beds Up to 30 Days

Hospital Beds 31-60 Days

Hospital Beds 61-90 Days

Hospital Beds 91-120 Days

Hospital Beds 120+ Days

Hospital Beds No Known Timeframe

Hospital Beds N/A

Support Surfaces

Support Surfaces Up to 30 Days

Support Surfaces 31-60 Days

Support Surfaces 61-90 Days

Support Surfaces 91-120 Days

Support Surfaces 120+ Days

Support Surfaces No Known Timeframe

Support Surfaces N/A

Enteral Nutrition

Enteral Nutrition Up to 30 Days

Enteral Nutrition 31-60 Days

Enteral Nutrition 61-90 Days

Enteral Nutrition 91-120 Days

Enteral Nutrition 120+ Days

Enteral Nutrition No Known Timeframe

Enteral Nutrition N/A

Negative Pressure Wound Therapy Pumps/Supplies

Negative Pressure Wound Therapy Pumps/Supplies Up to 30 Days

Negative Pressure Wound Therapy Pumps/Supplies 31-60 Days

Negative Pressure Wound Therapy Pumps/Supplies 61-90 Days

Negative Pressure Wound Therapy Pumps/Supplies 91-120 Days

Negative Pressure Wound Therapy Pumps/Supplies 120+ Days

Negative Pressure Wound Therapy Pumps/Supplies No Known Timeframe

Negative Pressure Wound Therapy Pumps/Supplies N/A

Patient Lifts/Seat Lifts

Patient Lifts/Seat Lifts Up to 30 Days

Patient Lifts/Seat Lifts 31-60 Days

Patient Lifts/Seat Lifts 61-90 Days

Patient Lifts/Seat Lifts 91-120 Days

Patient Lifts/Seat Lifts 120+ Days

Patient Lifts/Seat Lifts No Known Timeframe

Patient Lifts/Seat Lifts N/A

Manual Wheelchairs

Manual Wheelchairs Up to 30 Days

Manual Wheelchairs 31-60 Days

Manual Wheelchairs 61-90 Days

Manual Wheelchairs 91-120 Days

Manual Wheelchairs 120+ Days

Manual Wheelchairs No Known Timeframe

Manual Wheelchairs N/A

Standard Power Wheelchairs

Standard Power Wheelchairs Up to 30 Days

Standard Power Wheelchairs 31-60 Days

Standard Power Wheelchairs 61-90 Days

Standard Power Wheelchairs 91-120 Days

Standard Power Wheelchairs 120+ Days

Standard Power Wheelchairs No Known Timeframe

Standard Power Wheelchairs N/A

Complex Rehab Technology Wheelchairs/Accessories

Complex Rehab Technology Wheelchairs/Accessories Up to 30 Days

Complex Rehab Technology Wheelchairs/Accessories 31-60 Days

Complex Rehab Technology Wheelchairs/Accessories 61-90 Days

Complex Rehab Technology Wheelchairs/Accessories 91-120 Days

Complex Rehab Technology Wheelchairs/Accessories 120+ Days

Complex Rehab Technology Wheelchairs/Accessories No Known Timeframe

Complex Rehab Technology Wheelchairs/Accessories N/A

Walkers

Walkers Up to 30 Days

Walkers 31-60 Days

Walkers 61-90 Days

Walkers 91-120 Days

Walkers 120+ Days

Walkers No Known Timeframe

Walkers N/A

Medical Supplies (ex. Ostomy, Urologicals, Woundcare)

Medical Supplies (ex. Ostomy, Urologicals, Woundcare) Up to 30 Days

Medical Supplies (ex. Ostomy, Urologicals, Woundcare) 31-60 Days

Medical Supplies (ex. Ostomy, Urologicals, Woundcare) 61-90 Days

Medical Supplies (ex. Ostomy, Urologicals, Woundcare) 91-120 Days

Medical Supplies (ex. Ostomy, Urologicals, Woundcare) 120+ Days

Medical Supplies (ex. Ostomy, Urologicals, Woundcare) No Known Timeframe

Medical Supplies (ex. Ostomy, Urologicals, Woundcare) N/A

HME Industry Provider COVID-19 Survey

Question Title

* 1. Does your company provide durable medical equipment (DME) and/or supplies to Medicare beneficiaries?

Question Title

* 2. Please indicate whether or not your company is experiencing a supply chain interruption (backorders/delays/order cancellations) in receiving the following types of equipment/supplies since the beginning of the Public Health Emergency.

Question Title

* 3. For any of the product categories noted above with supply chain issues, please check the box for how long the delay is per product category, if known: