CMS SOM App. H, Tag V458

The patient has the right to— Be informed

about all treatment modalities and settings, including but not limited to, transplantation,

home dialysis modalities (home hemodialysis, intermittent peritoneal dialysis, continuous

ambulatory peritoneal dialysis, continuous cycling peritoneal dialysis), and in-facility

hemodialysis. The patient has the right to receive resource information for dialysis

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modalities not offered by the facility, including information about alternative scheduling

options for working patients;

Interpretive Guidance §494.70(a)(7)

Documentation in patient records must demonstrate that facility staff provide unbiased

education to patients/designees about transplantation and all dialysis treatment options

(modalities and settings) offered for kidney failure, whether or not those options are offered at

the current dialysis facility. This includes alternate scheduling options for in-center hemodialysis

patients who attend school or are working. Patients who work or attend school should be

encouraged to continue doing so and facilities should recommend the most appropriate modality

and setting for their dialysis. Examples of how facilities may meet this requirement include

developing a resource information packet for patients or providing patients an existing resource

list of facilities that offer alternate schedules or home dialysis treatment options found at

Medicare’s Dialysis Facility Compare, and Home Dialysis Central.

The requirements for assessment of patients for home dialysis and transplantation are addressed

at V512 and V513 and at V553 and V554, respectively, under the Condition for Patient plan of

care.