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Conditions for Coverage

Survey and Certification Information 

The CMS Survey & Certification Guidance to Laws and Regulations section is the “go-to” source of information for all things related to ESRD surveys and contains frequently updated information. Click here to view. Of special importance:

  • ESRD Conditions of Coverage (published 4-15-2008; effective 10-14-2008)
  • ESRD Program Interpretive Guidance
  • Surveyor Laminates
  • Frequently Asked Questions about the Conditions of Coverage
  • ESRD Survey and Certification Letters

The ESRD State Operations Manual can be located here. Chapter 2 contains survey process information for dialysis facilities; Chapter 2 addresses the certification process; Appendix H addresses the ESRD survey process and Appendix Q addresses the Immediate Jeopardy citation process/procedures.

Quality Incentive Program Information 

The ESRD Quality Incentive Program section contains various resources to assist providers with questions about this program mandated by the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA). Of special importance to dialysis providers, this section contains CMS prepared presentations on both existing and proposed measures of the QIP. Click here to view.