Conditions for Coverage and Participation

ESRD Facility Conditions for Coverage are in the Electronic Code of Federal Regulations (dialysis regulations are in 42CFR 405, 410, 413, 414, 488 and 494) and Transplant Conditions of Participation.

The Conditions for Coverage that Medicare-funded dialysis facilities operate by, and the Conditions of Participation that Medicare-funded transplant centers operate by, were modified in 2007-2008.  Adherence to these Conditions are monitored by Survey & Certification personnel from state Health Departments.

For information regarding the Conditions for Coverage for End-Stage Renal Disease (ESRD) facilities, please visit the Survey and Certification Guidance to Laws & Regulations: Dialysis page. Documents are available for download on the website or by clicking the links below.

The operating rules used by state surveyors to monitor transplant centers can be found at .


State Regulations


  • EDR (Early Discussion & Resolution) Guide:  English


If you can't read any of these documents – see for help.

Page updated July 28, 2016