CMS Proposes 2019 Policy and Payment Rate Changes for ESRD Facilities

On July 11, 2018, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule (CMS 1691-P) to update 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. This rule also proposes updates to the acute kidney injury dialysis payment rate for renal dialysis services furnished by ESRD facilities to individuals with AKI and proposes changes to the ESRD Quality Incentive Program (QIP).

Comments on the proposed rule must be submitted to CMS by September 10, 2018.

Response to Proposed Rule

CMS to Host Call on the Proposed Rule (August 14)

Learn about proposals for the ESRD QIP in the CY 2019 ESRD PPS proposed rule. CMS will host a call on August 14, 2018, at 2:00 pm ET. Topics include:

  • ESRD QIP legislative framework
  • Proposed updates to ESRD QIP measures, domain structure, and weights
  • Proposed modifications to data submission requirements and the National Healthcare Safety Network Validation Study
  • Methods for reviewing and commenting on the proposed rule

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