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Conditions for Coverage

Survey and Certification Information (Content reviewed 6-24-16)

The CMS Survey & Certification Guidance to Laws and Regulations section is the “go-to” source of information for all things related to ESRD surveys and contains frequently updated information. Click here to view. Of special importance:

  • ESRD Conditions of Coverage (published 4-15-2008; effective 10-14-2008)
  • ESRD Program Interpretive Guidance
  • Surveyor Laminates
  • Frequently Asked Questions about the Conditions of Coverage
  • ESRD Survey and Certification Letters

The ESRD State Operations Manual, detailing the entire survey process, is undergoing revision at this time. In the interim, the current State Operations Manual can be located here. Chapter 2 contains survey process information for dialysis facilities; Chapter 2 addresses the certification process; Appendix H addresses the ESRD survey process and Appendix Q addresses the Immediate Jeopardy citation process/procedures.

Quality Incentive Program Information (Content reviewed 6-24-16)

The ESRD Quality Incentive Program section contains various resources to assist providers with questions about this program mandated by the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA). Of special importance to dialysis providers, this section contains CMS prepared presentations on both existing and proposed measures of the QIP. Click here to view.

Home Dialysis Assessment Tool

The Medical Education Institute, Inc. in Madison Wisconsin created Home Dialysis Central to provide tools and resources for patients and providers about home dialysis therapies. This website houses a wealth of information for all things related to home dialysis. Click here to visit Home Dialysis Central.

Unit Self-Assessment Manual for Renal Rehabilitation

Assessment is the logical first step for any dialysis unit interested in starting or improving renal rehabilitation programming.  This 38 page manual is the complete guide to the use and interpretation of the Life Options Unit Self-Assessment Tool for Renal Rehabilitation (USAT).  The manual covers a range of important topics, including the rationale for unit self-assessment, a description of the USAT criteria, and explanation of scoring, suggested action steps based on scores and tips for the use of USAT. Click here to view the Unit Self-Assessment Manual.

CAHPS In-Center Hemodialysis Survey Now Available

In November 2006, the CAHPS Consortium, in cooperation with the Centers for Medicare & Medicaid Services (CMS), released the CAHPS In-Center Hemodialysis Survey for public use. This standardized questionnaire was designed to help dialysis facilities and ESRD Networks assess and improve the experiences of their patients with in-center hemodialysis.

The instrument is available in a Kit that can be downloaded from the CAHPS Web site: (Link opens in a new browser.)

Up-to-date ICH CAHPS news and announcements can be found here.