CMS Revised State Operations Manual – End Stage Renal Disease

PUBLISHED: Aug 16, 2018
Relevant to: Critical Access Hospitals, Dialysis Facilities, Hospitals, Long Term Care

The U.S. Centers for Medicare and Medicaid Services (CMS) has completed comprehensive revisions to their State Operations Manual (SOM), Chapter 2, End Stage Renal Disease (ESRD) section. The revisions incorporate all CMS policy releases, issued through previous Survey and Certification memoranda, and updated CDC recommendations and changes to standards of practice in the community including:

  • CMS guidance for ESRD activities related to relocations, addition of stations, expansion of services, and temporary closures (§488.60(a))
  • Guidance for dialysis services provided in a nursing home
  • Infection control considerations (§494.30)
  • Medical Director waiver considerations (§494.140(a)(2))

The ESRD Conditions for Coverage (CfC) set baseline standards that a Medicare certified ESRD facility must meet when furnishing dialysis services to any patient, regardless of payment source. The current ESRD CfC were published in a final rule on April 15, 2008, with an effective date of October 14, 2008 for most of the requirements. The ESRD section of Chapter 2 of the SOM has not been updated to include the 2008 CfC or CMS policy changes issued through memoranda since 2008.

Included with today’s notice are example policies related to the provision of Dialysis services. For more comprehensive example policies follow the link below to MCN Healthcare’s Dialysis Services Policy and Procedure Manual.

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