On March 26, 2010, CMS updated the Medicare Program Integrity Manual to outline scenarios under which DMEPOS suppliers must report certain surety bond changes to the National Supplier Clearinghouse (NSC), effective June 28, 2010. Specifically, the manual specifies that a DMEPOS supplier must submit an addendum to the existing bond (or, if the supplier prefers, a new bond) to the NSC in the following instances: (1) change in bond terms, (2) change in bond amount, or (3) a location on a bond covering multiple non-chain locations is being added or deleted. The manual update also clarifies that the surety must notify the NSC if there is a lapse in the surety’s coverage of the DMEPOS supplier.