Expect Audits After the Emergency Ends - HomeCare

• California Exemptee Training Certification - for home medical device retailers.  If you are applying for a California Exemptee license, you'll need to include proof of required training in your application. Take this online course to earn a course completion certificate for your license application.

According to the article:

"The Centers for Medicare & Medicaid Services (CMS) has issued temporary regulatory waivers and new rules during the COVID-19 public health emergency to allow certain health care providers flexibility in providing care during the pandemic. Some of these initiatives directly impact the home medical equipment/durable medical equipment (HME/DME) industry. Providers of HME and DME, however, should be prepared for post-COVID-19 audits. Here are some areas of concern to be aware of."

Read the full source article:  Expect Audits After the Emergency Ends - HomeCare

Return Home:  The Designated Representative and Exemptee Blog

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California Exemptee Training Certification - for home medical device retailers.  If you are applying for a California Exemptee license, you'll need to include proof of required training in your application. Take this online course to earn a course completion certificate for your license application.

For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training affidavit):

• CA Designated Representative Wholesaler Training - Available around-the-clock 24 x 7
• CA Designated Representative 3PL Training
• CA Designated Representative Reverse Distributor Training - New!
• The Designated Representative Institute

     Florida:

• Florida Certified Designated Representative - CDR Laws and Rules Examination Prep Course

For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

• CA Home Medical Device Retailer (HMDR) Exemptee Training Course
• The Exemptee Institute

OIG report catches $34m in CMS overpayments to med device suppliers over 3 years - MassDevice

• California HMDR Exemptee Training Certification Course for Home Medical Device Retailers (accepted by the California Department of Public Health - Food and Drug Branch)

Read the full article:  OIG report catches $34m in CMS overpayments to med device suppliers over 3 years - MassDevice

"The U.S. Dept. of Health and Human Services’ Office of the Inspector General recently published a report claiming that the Centers for Medicare and Medicaid Services overpaid medical device suppliers by $34 million"

Read the OIG report:
Medicare Improperly Paid Suppliers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Provided to Beneficiaries During Inpatient Stays (PDF)

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California HMDR Exemptee Training Certification Course for Home Medical Device Retailers (accepted by the California Department of Public Health - Food and Drug Branch)

For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training affidavit):

• CA Designated Representative Wholesaler Training - Available around-the-clock 24 x 7
• CA Designated Representative 3PL Training
• CA Designated Representative Reverse Distributor Training - New!
• The Designated Representative Institute

     Florida:

• Florida Certified Designated Representative - CDR Laws and Rules Examination Prep Course

For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

• CA Home Medical Device Retailer (HMDR) Exemptee Training Course
• The Exemptee Institute

HME Audit Key data provides first look at severity of audits | HME News

Read the full article: Tool provides first look at severity of audits | HME News:

"Nationwide, 78% of providers appealed denials, with O&P leading the way with a 98% appeal rate, followed by ostomy, urological and wound care supplies at 87%.

Upon review, 60% of claims for hospital beds, support surfaces and manual wheelchairs were paid. For O&P and respiratory equipment, 15% and 74%, respectively were paid."

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CA HMDR Exemptee online internet-based training certification by SkillsPlus Intl Inc.
The Exemptee Institute

NEW! CA Designated Representative-3PL online training certification by SkillsPlus Intl Inc.- We'll send you the 3PL training affidavit upon successful course completion.
CA Designated Representative online web-based training certification by SkillsPlus Intl Inc. - Available around-the-clock 24 x 7
FL Certified Designated Representative (CDR) online exam prep course - Lots of practice exams - Practice makes perfect!
The Designated Representative Institute

Be Ready! Common CDPH HMDR Facility Inspection Violations

• Buy now! California Exemptee Training
• California HMDR Exemptee Training Certification Class. Earns a course completion certificate accepted by the California Department of Public Health - Food and Drug Branch

Updated July 28, 2026

Common California HMDR Inspection Violations

California HMDR renewal inspections can take place annually, unannounced, at any HMDR facility during normal business hours. A customer complaint or other referral may trigger an inspection.

Common violations include:

• Dispensing prescription devices without a valid HMDR exemptee on the premise
• Lack of dispensing records for prescription devices
• Inadequate procedures for the cleaning and maintenance of rental devices
• Inadequate staff training or patient/caregiver consultation
• Inadequate quality assurance procedures and/or lack of documentation of quality assurance procedures.

Source:   California HMDR FAQs on the Home Medical Device Retail Program website (unfortunately, the original source document is no longer posted).

Return Home:  The Designated Representative and Exemptee Blog

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California HMDR Exemptee Training Certification Class. Earns a course completion certificate accepted by the California Department of Public Health - Food and Drug Branch

For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training affidavit):

• CA Designated Representative Wholesaler Training - Available around-the-clock 24 x 7
• CA Designated Representative 3PL Training
• CA Designated Representative Reverse Distributor Training  
• The Designated Representative Institute

     Florida:

• Florida Certified Designated Representative - CDR Laws and Rules Examination Prep Course

For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

• CA Home Medical Device Retailer (HMDR) Exemptee Training Course
• The Exemptee Institute

AAHomecare tells Senate: Stop audits until backlog clears | HME News

• The best choice for Exemptee training! California Exemptee Training - for HMDR (home medical device retailers). $525 per student (no extra fees to retake quizzes). State approved by the California Department of Public Health. Earns a course completion certificate suitable for your Exemptee license application. #HMDR #HME #DME #HMDRexemptee
  

AAHomecare tells Senate: Stop audits until backlog clears | HME News:

"The battle to fight audits has gained strength ever since a Dec. 31 memo from Chief Administrative Law Judge (ALJ) Nancy Griswold cited a backlog of 357,000 pending appeals pending, and suspended assignment of hearings for appeals dating to July 15, 2013. It could be at least two years before those appeals get assigned to an ALJ. "

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For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training affidavit):

• CA Designated Representative Wholesaler Training - Available around-the-clock 24 x 7
• CA Designated Representative 3PL Training
• CA Designated Representative Reverse Distributor Training  
• The Designated Representative Institute

     Florida:

• Florida Certified Designated Representative - CDR Laws and Rules Examination Prep Course

For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

• CA Home Medical Device Retailer (HMDR) Exemptee Training Course
• The Exemptee Institute