Conditions for Coverage and 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
• 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 .

The Federal Register Electronic Code of Federal Regulations (For your information Dialysis regulations are in 42CFR 405, 410, 413, 414, 488 and 494.) and Transplant Conditions of Participation .

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