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 CMS.gov Survey and Certification Guidance to Laws & Regulations: Dialysis page. Documents are available for download on the CMS.gov website or by clicking the links below.

• ESRD Facility Conditions for Coverage (See Electronic Code of Federal Regulations)
• ESRD Program Interpretive Guidance
• CMS 3427 ESRD Application/Notification and Survey/Certification Report
• ESRD Core Survey Field Manual and Individual Tools & Worksheets
• ESRD Core Survey Data Worksheet
• ESRD Survey Laminates - Quick reference documents (i.e. Measures Assessment Tool (MAT)
• ESRD Survey & Certification Memo

The operating rules used by state surveyors to monitor transplant centers can be found at http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/GuidanceforLawsAndRegulations/Transplant-Laws-and-Regulations.html .

State Regulations

Oregon

• EDR (Early Discussion & Resolution) Guide:  English

If you can't read any of these documents – see http://www.nwrn.org/viewers for help.

Page updated July 28, 2016