On November 22, 2013, the Centers for Medicare and Medicaid Services (CMS) issued a final rule that updates Medicare policies and payment rates for 2014 for dialysis facilities paid under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS). CMS decided to implement a 3- to 4-year transition for the drug utilization adjustment to the base rate mandated by Congress as part of the American Taxpayer Relief Act, and overall payments for 2014 will see a 0% change. The rule also finalized a 50% increase to the home dialysis training add-on payment adjustment that is made for both peritoneal dialysis and home hemodialysis training treatments. Click the links below for additional information. Final Rule ~ End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies CMS Press Release ~ November 22, 2013 CMS Fact Sheet ~ CMS Finalizes Policies and Payment Rates for End-Stage Renal Disease Prospective Payment System for CY 2014 CMS Fact Sheet ~ CMS Finalizes Policy and Payment Rate Changes for End-Stage Renal Disease Facilities in 2014 Click here for background information regarding the Proposed Rule. Response to Rule Nation's Kidney Care Community Says Medicare Rule Goes Too Far, Cuts Too Deep (11/23/13) ANNA Webinar on Final Rule Go to the archive of ANNA's Webinar: Final Rule on the ESRD Prospective Payment System and Quality Incentive Program: What Does It Mean to You?