Revisions to the State Operations Manual (SOM), Chapter 2, End Stage Renal Disease (ESRD) Program
• The SOM operationalizes the oversight activities of State Survey Agencies (SAs) and Centers for Medicare & Medicaid Services
(CMS) Regional Offices (ROs) for certified Medicare providers and suppliers. Chapter 2 of the SOM includes guidance and instructions
on procedures for ESRD facilities.
• CMS has completed a comprehensive update to the SOM Chapter 2, ESRD section to incorporate current Conditions for Coverage
(CfC) and CMS policies for ESRD issued previously through memoranda.