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Regulations last checked for updates: Nov 22, 2024
Title 42 - Public Health last revised: Nov 19, 2024
All Titles
Title 42
Chapter IV
Part 413
Subpart H - Subpart H—Payment for End-Stage Renal Disease (ESRD) Services
§ 413.170 - Scope.
§ 413.171 - Definitions.
§ 413.172 - Principles of prospective payment.
§ 413.174 - Prospective rates for hospital-based and independent ESRD facilities.
§ 413.176 - Amount of payments.
§ 413.177 - Quality incentive program payment.
§ 413.178 - ESRD quality incentive program.
§ 413.180 - Procedures for requesting exceptions to payment rates.
§ 413.182 - Criteria for approval of exception requests.
§ 413.184 - Payment exception: Pediatric patient mix.
§ 413.186 - Payment exception: Self-dialysis training costs in pediatric facilities.
§ 413.194 - Appeals.
§ 413.195 - Limitation on Review.
§ 413.196 - Notification of changes in rate-setting methodologies and payment rates.
§ 413.198 - Recordkeeping and cost reporting requirements for outpatient maintenance dialysis.
§ 413.200 - [Reserved]
§ 413.202 - Organ procurement organization (OPO) cost for kidneys sent to foreign countries or transplanted in patients other than Medicare beneficiaries.
§ 413.203 - Transplant center costs for organs sent to foreign countries or transplanted in patients other than Medicare beneficiaries.
§ 413.210 - Conditions for payment under the end-stage renal disease (ESRD) prospective payment system.
§ 413.215 - Basis of payment.
§ 413.217 - Items and services included in the ESRD prospective payment system.
§ 413.220 - Methodology for calculating the per-treatment base rate under the ESRD prospective payment system effective January 1, 2011.
§ 413.230 - Determining the per treatment payment amount.
§ 413.231 - Adjustment for wages.
§ 413.232 - Low-volume adjustment.
§ 413.233 - Rural facility adjustment.
§ 413.234 - Drug designation process.
§ 413.235 - Patient-level adjustments.
§ 413.236 - Transitional add-on payment adjustment for new and innovative equipment and supplies.
§ 413.237 - Outliers.
§ 413.239 - Transition period.
§ 413.241 - Pharmacy arrangements.
authority:
42 U.S.C. 1302
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source:
51 FR 34793, Sept. 30, 1986, unless otherwise noted.
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