CMS Releases Final Rule on ESRD Prospective Payment System for 2019 (CMS-1691-F)

On November 1, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that:

  • updates payment policies and rates under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis services furnished to beneficiaries on or after January 1, 2019,
  • updates the acute kidney injury (AKI) dialysis payment rate for renal dialysis services furnished by ESRD facilities to individuals with AKI,
  • finalizes changes to the ESRD Quality Incentive Program (QIP), and
  • finalizes changes to bidding and pricing methodologies under the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP).

The final rule will be published in the November 14, 2018, Federal Register.