US · guidance
CMS SOM App. H, Tag V588
§ 494.100(c) Standard: Support services
(1) A home dialysis training facility must furnish
(either directly, under agreement, or by arrangement with another ESRD facility) home
dialysis support services regardless of whether dialysis supplies are provided by the dialysis
facility or a durable medical equipment company…
Interpretive Guidance § 494.100(c)(1):
Whether the home dialysis training facility provides the patients’ home dialysis equipment and
supplies, or the patient contracts with a DME supplier to obtain the equipment and supplies, the
dialysis facility must provide all required support services to its home dialysis patients, as listed
in the following tags, either directly or by arrangement.
A DME cannot provide home dialysis training or support services; these services must be
provided by an ESRD facility certified for home training and support.
The ESRD facility should enter into an agreement with any individual nursing home for which
they will provide dialysis services. The agreement should delineate the responsibilities and
coordination of care between the ESRD facility and the nursing home regarding the care of the
resident before, during, and after dialysis treatments.
History
Rev.
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
ef07205473ead78449cb73e073ba81e5af35a0f9f780ef2b9ef4462791f861d0
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.