Information on the CMS Conditions for Coverage for End-Stage Renal Disease Facilities

Conditions for Coverage for End-Stage Renal Disease (ESRD) Facilities

ESRD Interpretive Guidance Update (10/3/08)
On October 3, 2008, the Centers for Medicare and Medicaid Services (CMS) released the ESRD Interpretive Guidance Update related to the Conditions for Coverage for ESRD Facilities. The Interpretive Guidance includes the Measures Assessment Tool (MAT), a reference tool mentioned in the Patient assessment Condition, the Plan of care Condition, and the Quality assessment and performance improvement Condition of the regulations and corresponding guidance. The MAT is a guide for current professionally-accepted standards and values for listed clinical elements for each of the Conditions listed above.
> Download the ESRD Interpretive Guidance Update [PDF]

Final Rule (4/15/08)
On April 15, 2008, CMS released the Conditions for Coverage for End-Stage Renal Disease (ESRD) Facilities; Final Rule. This rule finalizes the February 4, 2005 proposed rule entitled “Medicare Program; Conditions for Coverage for End-Stage Renal Disease Facilities.’’ It establishes new conditions for coverage that dialysis facilities must meet to be certified under the Medicare program.
> Download the Final Rule [PDF]

Proposed Rule (2/5/05)
On February 5, 2005, CMS issued this proposed rule, which would revise the requirements that ESRD dialysis facilities must meet to be certified under the Medicare program.
Download the Proposed Rule [PDF]


ANNA's Response

Comparison of ANNA’s comment letter on the Conditions for Coverage for ESRD Facilities Proposed Rule with the Final Rule
This document includes a chart that compares ANNA’s May 5, 2005 public comment letter on the Conditions for Coverage for ESRD Facilities; Proposed Rule (CMS 3818-P) and the Final Rule.
> Download this document [PDF]

Comprehensive Interdisciplinary Patient Assessment Tool
The Conditions for Coverage require ESRD facilities to complete a comprehensive interdisciplinary patient assessment for all patients new to a facility. To help ESRD facilities implement this new condition into their practice, ANNA and the National Kidney Foundation (NKF) assembled an interdisciplinary team to create a patient assessment tool that could be adapted for use by facilities.
> Click here to access the assessment tool

ANNA's comments to CMS regarding the ESRD Draft Interpretive Guidelines (10/22/07)
> View ANNA's comments

ANNA's comments to CMS regarding the Conditions for Coverage for ESRD Facilities; Proposed Rule (5/5/05)
> View ANNA's comments


Additional Resources

Crosswalk of Former Conditions for Coverage for ESRD Services to Conditions Made Final in the April 15, 2008 Federal Register
> Download this document [PDF]

ESRD Conditions for Coverage Final Rule Rollout: Frequently Asked Questions
> Download this document [PDF]

CMS Web site