US · guidance
CMS Pub. 100-04, ch. 8, § 70
Payment for Home Dialysis
Home dialysis is dialysis performed by an appropriately trained dialysis patient at home.
Hemodialysis, CCPD, IPD and CAPD may be performed at home. For renal all dialysis
services furnished by an ESRD facility, the facility must accept assignment, and only the
facility may be paid by the Medicare program.
For purposes of home dialysis, a skilled nursing facility (SNF) may qualify as a
beneficiary’s home. The services are excluded from SNF consolidated billing for its
inpatients. The home dialysis services are billed by the ESRD facility.
With the implementation of the ESRD PPS on January 1, 2011, payment for all home
dialysis services furnished to the ESRD beneficiary is made to an ESRD dialysis facility
whether services are provided directly or under arrangements.
History
(Rev. 10640, Issued:08-06-21, Effective:09-07-21, Implementation:09-07-21)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
e5cd4b7fd5a0e6aa9dddf3be098353bfdf9a0b5c51565eea8e0246226e04a4b0
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