US · guidance
CMS Pub. 100-04, ch. 20, § 30.8.1
DME MAC and A/B MAC (A) Determination of ESRD Method
Selection
(Rev. 2487, Issued: 06-08-12, Effective: 01-01-11, Implementation: 06-19-12)
AB-01-61
A. Method Selection and Form CMS-382
For services furnished prior to January 1, 2011, the beneficiary was required to complete
Form CMS-382 to choose either Method I or Method II dialysis. Method I dialysis
patients receive their home dialysis equipment and supplies from a dialysis facility.
Method II patients chose to deal with a home dialysis supplier that is not a dialysis
facility. Once a beneficiary made a method selection choice, the beneficiary or dialysis
facility submitted the Form CMS-382 to the appropriate A/B MAC (A). The A/B MAC
(A) then processed information from the form to CWF. Chapter 8 provided the
instructions for completing the form.
For dates of service prior to January 1, 2011, the DME MACs deny Method II claims
where there is no method selection or the method selection has a value of '1' on file at
CWF.
For dates of service on and after January 1, 2011, please refer to Section 30.8.3 for
information on the elimination of Method II home dialysis.
B. Changes in Method Selection
Prior to the implementation of the ESRD PPS, for dates of service prior to January 1,
2011, if a beneficiary decided to change his or her choice of method selection, he or she
filled out a new Form CMS-382 to indicate the change. The beneficiary could have filled
out a new method selection form at any time, but in most circumstances, the change did
not take effect until January 1 of the following calendar year. If a beneficiary requested
an exception to the January 1 implementation date in writing from the A/B MAC (A), the
A/B MAC (A) could have chosen to grant his or her request. See Chapter 8 for related
requirements.
The DME MAC systems must be able to interpret the CWF trailer record that contains
the method effective date.
For dates of service on and after January 1, 2011, please refer to Section 30.8.3 for
information on the elimination of Method II home dialysis.
History
(Rev. 2487, Issued: 06-08-12, Effective: 01-01-11, Implementation: 06-19-12)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
7f9872fa4ee3cab580326f08d5145c679a435afbbaf53901ab1ba9723a7c268e
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.