US · guidance
CMS Pub. 100-04, ch. 3, § 100.6
Inpatient Renal Services
HO-E400
Section 405.103l of Subpart J of Regulation 5 stipulates that only approved hospitals may
bill for ESRD services. Hence, to allow hospitals to bill and be reimbursed for inpatient
dialysis services furnished under arrangements, both facilities participating in the
arrangement must meet the conditions of 405.2120 and 405.2160 of Subpart U of Regulation
5. In order for renal dialysis facilities to have a written arrangement with each other to
provide inpatient dialysis care both facilities must meet the minimum utilization rate
requirement, i.e., two dialysis stations with a performance capacity of at least four dialysis
treatments per week.
Dialysis may be billed by an SNF as a service if: (a) it is provided by a hospital with which
the facility has a transfer agreement in effect, and that hospital is approved to provide staff-assisted dialysis for the Medicare program; or (b) it is furnished directly by an SNF meeting
all nonhospital maintenance dialysis facility requirements, including minimum utilization
requirements. (See §§1861(h)(6), 1861(h)(7), title XVIII.)
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
4d78b4147ce9a960355e9969c1882937945230608bfc4d424769ee17a3d120b1
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