Medicare requires a DMEPOS supplier to hold every license a state requires for the items it furnishes, and Round 2028 competitive bidding requires those licenses in PECOS by the close of the bid window. States regulate suppliers in different ways: a dedicated DME or HME license, a pharmacy board permit, product licenses for oxygen or O&P, or nothing general at all. Some reach suppliers shipping in from other states; Alabama and Indiana require a location in the state. Every fact here links to its source; anything we could not confirm is marked as not verified rather than guessed.
Enrolling with Medicare first? DMEPOS enrollment in the order CMS requires.
Verified October 10, 2026. Each state decides its own applications; confirm with it before you rely on a detail.
Compare every state
| State | State requirement | Reaches out-of-state suppliers | In-state location required |
|---|---|---|---|
| Alabama | DME or HME license | Yes | Yes |
| Alaska | Not verified | Not verified | Not verified |
| Arizona | Pharmacy board permit | Yes | No |
| Arkansas | Pharmacy board permit | Yes | No |
| California | DME or HME license | Yes | No |
| Colorado | Not verified | Not verified | Not verified |
| Connecticut | Pharmacy board permit | Yes | No |
| Delaware | Not verified | Not verified | Not verified |
| District of Columbia | Not verified | Not verified | Not verified |
| Florida | DME or HME license | Yes | No |
| Georgia | Pharmacy board permit | Yes | No |
| Hawaii | Not verified | Not verified | Not verified |
| Idaho | Pharmacy board permit | Yes | No |
| Illinois | DME or HME license | Not verified | Not verified |
| Indiana | DME or HME license | Yes | Yes |
| Iowa | Pharmacy board permit | Yes | No |
| Kansas | Pharmacy board permit | Not verified | Not verified |
| Kentucky | DME or HME license | Yes | Not verified |
| Louisiana | Pharmacy board permit | Yes | No |
| Maine | Not verified | Not verified | Not verified |
| Maryland | DME or HME license | Not verified | Not verified |
| Massachusetts | Not verified | Not verified | Not verified |
| Michigan | Not verified | Not verified | Not verified |
| Minnesota | Not verified | Not verified | Not verified |
| Mississippi | Pharmacy board permit | Yes | No |
| Missouri | Not verified | Not verified | Not verified |
| Montana | Pharmacy board permit | Yes | No |
| Nebraska | No general DME license | No | No |
| Nevada | Pharmacy board permit | Yes | No |
| New Hampshire | Pharmacy board permit | Not verified | Not verified |
| New Jersey | Not verified | Not verified | Not verified |
| New Mexico | Product licenses only | Yes | No |
| New York | Product licenses only | No | No |
| North Carolina | Pharmacy board permit | Yes | No |
| North Dakota | Pharmacy board permit | Yes | No |
| Ohio | DME or HME license | Yes | No |
| Oklahoma | DME or HME license | Yes | No |
| Oregon | Pharmacy board permit | Not verified | Not verified |
| Pennsylvania | State device registration | Not verified | No |
| Rhode Island | Not verified | Not verified | Not verified |
| South Carolina | Pharmacy board permit | Yes | No |
| South Dakota | No general DME license | No | No |
| Tennessee | DME or HME license | Yes | No |
| Texas | Product licenses only | No | No |
| Utah | Pharmacy board permit | Not verified | No |
| Vermont | No general DME license | No | No |
| Virginia | Pharmacy board permit | Yes | No |
| Washington | No general DME license | No | No |
| West Virginia | No general DME license | No | No |
| Wisconsin | Product licenses only | Yes | No |
| Wyoming | Product licenses only | No | No |
Want us to prepare them?
A state DME license is $699 per state, or $899 in California, Florida, Georgia and Alabama. The remote delivery package covers ten states for $4,995. State fees are paid separately. See every price.