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ESRD Payment Regulations and Notices

This list includes proposed and final regulations and notices about payment to ESRD facilities for outpatient maintenance dialysis.

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Regulation Number Title Display Date Publication Date
CMS-1418-N End-Stage Renal Disease Prospective Payment System; Extension of Comment Period (CMS-1418-N) 11/03/2009 11/04/2009
CMS-1503-FC Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2011 11/02/2010 11/29/2010
CMS-1413-FC Medicare Program; Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2010 10/30/2009 11/25/2009
CMS-1418-F End-Stage Renal Disease Prospective Payment System 07/26/2010 08/12/2010
CMS-1577-F Final CY 2012 ESRD PPS and Composite Rate Wage Indices for Urban Areas Based on CBSA Labor Market Areas 11/01/2011 11/10/2011
CMS-1403-FC CY 2009 Physician Fee Schedule (PFS) Final Rule with Comment: CMS-1403-FC (Final Rule and Associated Data Files) - See Provisions Related to Payment for Renal Dialysis Services Furnished By End-Stage Renal Disease (ESRD) Facilities [Current CY 2009 wage index data are on page 70163 of the 11/19/2008 Federal Register notice] 10/30/2008 11/19/2008
CMS-1435-IFC Medicare Programs: Changes to the End-Stage Renal Disease Prospective Payment System Transition Budget-Neutrality Adjustment 04/01/2011 04/06/2011
CMS-1577-P Proposed CY 2012 ESRD PPS and Composite Rate Wage Indices for Urban Areas Based on CBSA Labor Market Areas 07/01/2011 07/08/2011
CMS-1418-P Medicare Programs; End-Stage Renal Disease Prospective Payment System; Proposed Rule 09/15/2009 09/29/2009
CMS-1508-N Medicare Program; Town Hall Meeting on End-Stage Renal Disease Prospective Payment System 09/15/2009 09/29/2009
CMS-1352-P Proposed CY 2013 End-Stage Renal Disease Prospective Payment System 2012-07-02 2012-07-11
CMS-1352-F Final CY 2013 End-Stage Renal Disease Prospective Payment System 2012-11-02 2012-11-09
CMS-1526-P End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies 2013-07-01 2013-07-08
CMS-1526-F Final CY 2014 End-Stage Renal Disease Prospective Payment System 2013-11-22 2013-12-02
CMS-1614-P CY 2015 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Quality Incentive Program, and Changes to the Change in Ownership Policy for DMEPOS 2014-07-02 2014-07-11
CMS-1614-F Medicare Program; End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies 2014-10-31 2014-11-06
CMS-1628-P Medicare Program; End-Stage Renal Disease Prospective Payment System, and Quality Incentive Program 2015-06-26 2015-07-01
CMS-1628-F Medicare Program; End-Stage Renal Disease Prospective Payment System, and Quality Incentive Program 2015-10-29 2015-11-06
CMS-1651-P Medicare Program; End-Stage Renal Disease Prospective Payment System, Coverage and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury, Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies Competitive Bidding Program Bid Surety Bonds, State Licensure and Appeals of Preclusion, Durable Medical Equipment, Prosthetics, Orthotics and Supplies Competitive Bidding Program and Fee Schedule Adjustments, Access to Care Issues for Durable Medical Equipment; and the Comprehensive End-Stage Renal Disease Care Model 2016-06-24 2016-06-30
CMS-1651-F Medicare Program; End-Stage Renal Disease Prospective Payment System, Coverage and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury (AKI), Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies Competitive Bidding Program Bid Surety Bonds, State Licensure and Appeals of Preclusion, Durable Medical Equipment, Prosthetics, Orthotics and Supplies Competitive Bidding Program and Fee Schedule Adjustments, Access to Care Issues for Durable Medical Equipment; and the Comprehensive End-Stage Renal Disease Care Model 2016-10-28 2016-11-04
CMS-1674-P Medicare Program; End-Stage Renal Disease Prospective Payment System, Coverage and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury, Quality Incentive Program 2017-06-29 2017-07-05
CMS-1674-F Medicare Program; End-Stage Renal Disease Prospective Payment System, Coverage and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury, Quality Incentive Program 2017-10-27 2017-11-01
CMS-1691-P Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) and Fee Schedule Amounts, and Technical Amendments to Correct Existing Regulations Related to the CBP for Certain DMEPOS. 2018-07-11 2018-07-19
CMS-1691-F Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) and Fee Schedule Amounts, and Technical Amendments to Correct Existing Regulations Related to the CBP for Certain DMEPOS. 2018-11-01 2018-11-14
CMS-1713-P Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) and Fee Schedule Amounts, DMEPOS CBP Proposed Amendments, and Standard Elements for a Durable Medical Equipment (DME) Order; Master List of DMEPOS Items Potentially Subject to a Face-to-Face Encounter and Written Order Prior to Delivery and/or Prior Authorization Requirements. 2019-07-29 2019-08-06