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Legislative and Regulatory Updates

Conditions for Coverage for ESRD Facilities

On April 15, 2008, the Centers for Medicare and Medicaid Services (CMS) released the revised Conditions for Coverage for ESRD facilities. These are the regulations that dialysis facilities must meet to be Medicare certified to provide dialysis services to patients with End Stage Renal Disease. The Conditions for Coverage (CfC) will take effect on October 14, 2008. These CfC take the place of the former Conditions, which were released in 1976. It is important that you become familiar with the new CfC, which contain several very important changes.

We have provided links to several documents that may help you as you make changes to your facility operations and your facility policies and procedures. Network staff are here to assist you in this process. Please contact us with questions or concerns.

• Conditions for Coverage, effective 10/14/2008
• Interpretive Guidelines, issued 10/3/2008
• Powerpoint presentation from Network 11 Annual Meeting
• ESRD Conditions for Coverage – Frequently Asked Questions (FAQs) revised by CMS in September 2009
• Measures Assessment Tool (New! version 1.5)
• Complete set of laminates used by state surveyors
• Guide to Patient Care Technician Training and Certification
• ANNA/NKF Comprehensive Assessment Tool
• Flyer offering a Study Guide for Dialysis Technicians from NANT
• Guidance on obtaining waivers or extensions for certain Conditions from CMS
• CMS memorandum on implementing the Life Safety Code component
• FDA Drug Safety Communication regarding the prescription of Erythropoiesis-Stimulating Agents (ESAs)