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Conditions for Coverage

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On April 15, 2008, CMS published updated ESRD Conditions for Coverage (CfCs). CMS develops CfCs that healthcare organizations must meet in order to begin and continue participating in the Medicare and Medicaid programs.

These minimum health and safety standards are the foundation for improving quality and protecting the health and safety of beneficiaries.

Because regulations and documentation for the CfCs are frequently revised and updated, please visit the CMS website below for the most comprehensive and up-to-date CfC resources which includes but is not limited to:

  • ESRD Conditions-for-Coverage FAQs
  • Current Measures Assessment Tool (MAT)
  • ESRD Facility V-Tags & Identifiers
  • Core-Survey-Process Information
  • Infection-Control, Water-System, and Personnel Requirements
  • Components of Immediate Jeopardy/Guidelines for Citations
  • Outline of the Traditional ESRD Survey Process

CMS Survey and Certification Memoranda

This official Centers for Medicare & Medicaid Services (CMS) website provides memoranda, guidance, clarifications, and instructions to State Survey Agencies and CMS Regional Offices.

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Complete Conditions for Coverage for ESRD Facilities

This document is the Federal Register, Department of Health and Human Services Conditions for Coverage for ESRD facilities, final rule.

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ESRD Program Interpretive Guidance

This Centers for Medicare & Medicaid Services Memorandum provides interpretive guidance for ESRD Networks for Conditions for Coverage and Involuntary Discharge.

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Guidance to Laws and Certification for Dialysis

This page provides basic information related to survey and certification of dialysis facilities for ESRD surveyors and dialysis providers. It includes links to applicable laws and regulations, and provides resources to support and assess compliance with Federal regulations.

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Guidance to Laws and Regulations for Transplant Facilities

This official Centers for Medicare & Medicaid Services (CMS) website provides information regarding organ transplant laws and regulations.

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Survey and Certification Enforcement

This official Centers for Medicare & Medicaid Services (CMS) website provides requirements for dialysis facilities to remain certified as a Medicare and Medicaid provider.

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Survey and Certification Guidance to Laws and Regulations for Dialysis Facilities

The official Centers for Medicare & Medicaid Services (CMS)  website provides guidance on the dialysis facilities certification and survey process to meet the specified safety and quality standards for condition for coverage. 

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The Role of the ESRD Network and State Survey Agency

This document explains the roles and responsibilities of the ESRD Network and State Survey Agency. 

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V-Tags & Interpretive Guidance Regarding Patient Involuntary Discharge

This document is an excerpt from the CMS ESRD Surveyor Training Interpretive Guidance (version 1.1) that highlights information regarding involuntary discharge.

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V-Tags & Interpretive Guidance Regarding Patient Transplant

This document is an excerpt from the CMS ESRD Surveyor Training Interpretive Guidance (version 1.1) that highlights information regarding transplant.

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