On January 9, 2026, the United States District Court, District of Maryland, granted the Board for Certification/Accreditation’s (BOC) request for a temporary restraining order (TRO) against the Centers for Medicare & Medicaid Services (CMS) for their December 2, 2025, termination of BOC’s Accrediting Organization (AO) approval.

BOC Status Reinstated

Effective January 9, 2026, the temporary restraining order allows the Board of Certification/Accreditation:

• To continue operations.
• Provide full accreditation- and reaccreditation-related services in 46 states.
• Accept new DMEPOS applications in 46 states.
• Continue to certify DMEPOS individuals.

Accreditation Exceptions – California, Florida, New York, Texas

Restrictions announced in May 2025 remain in force for reaccreditation and new accreditation of all DMEPOS suppliers in:

• California
• Florida
• New York
• Texas

For businesses located in these states, current Board of Certification/Accreditation accreditations remain valid. However, new accreditation applications and renewals must be sought through an alternate CMS-approved Accrediting Organization.

Suppliers with questions should contact BOC Compliance at compliance@bocusa.org for individualized support and guidance.

Certifications Remain Valid

Professional certification programs remain fully intact. There have been no changes to educational requirements or testing services. All individual credentials remain valid and fully recognized.

These certifications include:

• Orthotic fitters
• Mastectomy fitters
• DME specialists

This is a developing story. Please check back for the latest developments.

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