US · guidance
CMS Pub. 100-02, ch. 7, § 80.5
Services Covered Under the End Stage Renal Disease (ESRD)
Program
(Rev. 208, Issued: 04-22-15, Effective: 01-01-15, Implementation: 05-11-15)
Renal dialysis services that are covered and paid for under the ESRD PPS, which include
any item or service furnished to an ESRD beneficiary that is directly related to that
individual's dialysis, are excluded from coverage under the Medicare home health
benefit. However, to the extent that other requirements for coverage are met, an item or
service that is not directly related to a patient's dialysis would be covered (e.g., a skilled
nursing visit to furnish wound care for an abandoned shunt site). Within these
restrictions, beneficiaries may simultaneously receive items and services under the ESRD
PPS through their ESRD facility at home at the same time as receiving items and services
under the home health benefit that are not related to ESRD.
History
(Rev. 208, Issued: 04-22-15, Effective: 01-01-15, Implementation: 05-11-15)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
bed4fb38348f32617e13a302a34ae67d2453a1812accc624f04180fa9c60b068
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