CMS SOM App. H, Tag V667

All patient care provided in the special purpose

facility is documented and forwarded to the patient’s usual dialysis facility, if possible,

within 30 days of the last scheduled treatment in the special purpose renal dialysis facility.

Interpretive Guidance § 494.120(e):

Care in any SPRDF should be documented at the time it is delivered and sent to the patient’s

permanent facility within 30 days of the last treatment provided by the SPRDF. Additional time

may be needed for the transfer of documentation of care in the event of a natural disaster. For

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example, if a patient’s original facility was destroyed and not rebuilt, the documentation transfer

may be delayed or even impossible.

Hospitals or skilled nursing facilities that obtain an emergency circumstance SPRDF

designation to care for patients with medical or psychosocial needs that cannot be met in a

standard outpatient dialysis facility may choose to maintain the original record of care at the

SPRDF and forward copies of requested portions of the record to another treatment setting that

will be receiving the patient for care. In this case, the records would be expected to be

transferred within one working day. Refer to V733.