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conditions for coverage

On April 15, 2008, the Centers for Medicare & Medicaid Services (CMS) released the revised Conditions for Coverage for ESRD Facilities (formerly Subpart U Regulations). This final rule reflects the advances in dialysis technology and standard care practices since the requirements were last revised in their entirety in 1976. The provisions of the final rule took effect on October 14, 2008.


In June 2010, CMS released the CMS Dialysis Survey & Certification web page for further guidance on laws & regulations related to dialysis facility certification surveys.

In April 2010, CMS released Frequently Asked Questions about Patient Care Technicians.

In October 2008, CMS released Interpretive Guidance for the ESRD Conditions for Coverage.

A Measures Assessment Tool (MAT) was also released, listing measures, values, references and source information for certain conditions/standards listed in the new Conditions for Coverage. This includes water and dialysate quality, reuse of hemodialyzers and patient blood lines, patient assessment, plan of care and QAPI. V-tags are also listed for each condition.