US · guidance
CMS Pub. 100-16, ch. 7, § 70.3.1
Dialysis
Dialysis Status – Payments for beneficiaries are made using CMS-HCC ESRD dialysis
risk scores when CMS has notification from a dialysis facility that the beneficiary is
receiving dialysis in a Medicare certified facility. The dialysis facility submits the
notification to CMS on the CMS-2728 form and the payment system uses this
information to apply an ESRD dialysis risk score.
Payment for Medicare beneficiaries in dialysis status is made using the ESRD State
ratebook: the risk score is multiplied by the appropriate State rate. See Chapter 8:
Payments to Medicare Advantage Organizations.
History
(Rev. 114, Issued; 06-07-13, Effective: 06- 07-13, Implementation: 06-07-13)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
6e4fc2a85f66cf3b0d12aef5d95eac1227f6da1fecd15ac2a75c1fa8274dda13
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