Conditions for Coverage
Updated ESRD Pages on CMS Website - 6-22-10
The new ESRD page of the CMS Survey & Certification section is now available. Of special benefit, the Conditions of Coverage Interpretive Guidance (IG) contains hyperlinks, allowing the user to skip to any section of the IG directly from the Table of Contents. Click here to view the updated pages.
Revised Surveyor Laminates – 5-20-10
These three surveyor laminates have been revised for 2010 spring surveyor training:
Measures Assessment Tool (MAT)
End Stage Renal Disease V-Tags and Identifiers
Correlation Grid for Patient Assessment & Plan of Care
Previous versions remain posted below for comparison purposes.
Life Safety Code (LSC) Surveys in End Stage Renal Disease (ESRD) Facilities for Calendar Year (CY) 2010—11-24-09
Click here to read Survey and Certification letter ( S&C-10-08-ESRD) released 11-20-09.
Frequently Asked Questions - 9-8-09
Click here for a direct link to the CMS FAQ regarding the new Conditions for Coverage that were published to the CMS Website on Friday , Sept. 4, 2009.
New Survey Guidance Documents - 1-28-10
The following documents were provided to all ESRD Networks by the ESRD Survey & Certification division of CMS. These tools were developed to assist state surveyors in implementing the new Conditions for Coverage and highlight critical areas of the survey process.
End Stage Renal Disease V-Tags and Identifiers
Chemical Contaminant Levels in Water Used to Prepare Dialysate
Dialysis Lab Tests At a Glance
Infection Control
Outline of the Basic ESRD Survey Process
Correlation Grid for Patient Assessment & Plan of Care
Personnel Requirements
Priniciples of Documentation Overview
Monitoring Guidelines for Water Purification Equipment and Distribution Systems and Dialysate
Measures Assessment Tool (MAT)
Resource Guide for Conditions for Coverage -1-9-09
Network 8 is pleased to announce the release of a newly developed resource guide for the Conditions for Coverage. This document is a streamlined version of the Interpretive Guidance document that was released by CMS on October 3, 2008. Though not meant to serve as a stand-alone document, and certainly not meant to replace the Interpretive Guidance, it is hoped that this resource will be a beneficial guide to understanding the new requirements. Click here to view the guide.
Conditions for Coverage Interpretive Guidance - 10-8-08
The attached ESRD Program Interpretive Guidance represents the most recent guidance related to the 42 CFR Part 494 Conditions for Coverage for ESRD facilities. This Interpretive Guidance should replace all previously-released versions.
CMS-issued resources on Conditions for Coverage - 10-3-08
- Frequently Asked Questions (11-page pdf)
- Crosswalk: Former Conditions vs. Revised Conditions (186-page pdf)
Comprehensive Mulitdisciplinary Patient Assessment - 9-29-08
The Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), published the Final Conditions for Coverage (CfC) for End-Stage Renal Disease (ESRD) Facilities on April 15, 2008. In anticipation of the final publishing of the CfC for ESRD facilities, CMS encouraged the National Kidney Foundation (NKF) and American Nephrology Nurses’ Association (ANNA) to establish a task force to develop resources and guidelines to assist facilities in complying with the requirement for a comprehensive, multidisciplinary patient assessment (CMPA).
This document was created for educational purposes only. The assessment questions are intended to provide examples of the types of questions that physicians, registered nurses, dietitians, and social workers may want to use to meet the requirements for a CMPA. The validity and reliability of the questions have not been confirmed. It is the responsibility of the user to verify that the use of any of the questions from cited sources does not violate any copyright laws.
The implementation and interpretation of the new Conditions for Coverage for End-Stage Renal Disease Facilities is anticipated to be a dynamic process. This document reflects the information available to the kidney community as of its version date. Please confirm with NKF or ANNA whether further information, resources, or guidance has been provided on this subject. The information provided is not intended to establish or replace policies and procedures provided by dialysis providers to their facilities. Please check with your dialysis facility management before implementing any information provided here. Click here to view the document.
Conditions for Coverage Frequently Asked Questions - 9-24-08
Network 8 would like to express our sincere thanks to Jan Deane, QI Director at Network 11 in Minneapolis, for creating this timely and valuable tool. Please contact Sheila McMaster at Network 8 if you have any questions about the document.
CDC Documents - 9-16-08
Specific pages of the following CDC documents are incorporated into the Conditions for Coverage by reference and have the authority of regulation. What this means, practically speaking, is that if the recommendation or guideline uses terms such as "should" or "may", for all intents and purposes, those words should be interpreted as "will".
New ESRD Regulations
The new ESRD Regulations were published April 15, 2008 and went into effect on October 14, 2008. Compliance with rules regarding separate room for HBsAg+, Life Safety Code, certification for technicians, and furnishing data for ESRD program administration are required by later dates, as noted. Click here to view the new ESRD Regulations. (366 KB PDF file opens in a new browser)
