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End Stage Renal Disease (ESRD) Services Update

PDF Version of BQA 00-030 (PDF, 5 KB)

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Date: March 15, 2000 DSL-BQA-00-030

To: Suppliers of End Stage Renal Disease Services ESRD - 05

From: Jan Eakins, Chief, Provider Regulation and Quality Improvement Section

cc: Susan Schroeder, Director, Bureau of Quality Assurance

The purpose of this memo is to provide a copy of current federal regulations and to remind suppliers of some specific responsibilities when participating in the Medicare benefit.

During recertification surveys, many suppliers do not have a copy of the current ESRD regulations. The federal Conditions for Coverage of Suppliers of ESRD Services are found in 42 CFR Part 405, Subpart U. A copy of the State Operations Manual Appendix H effective March 27, 1998 is attached [see www.cms.hhs.gov/manuals/107_som/ som107index.asp (exit DHS)]. It contains the regulation language, the interpretive guidelines and reference V tags.

Copies of 42 Code of Federal Regulation Part 405, Subpart U can be found via the following web site: http://www.access.gpo.gov/nara/cfr/ cfr-table-search.html (exit DHS).

In accordance with 42 CFR 489.18, all providers/suppliers are required to notify the federal Health Care Financing Administration (HCFA) about changes of ownership. Suppliers of End Stage Renal Disease (ESRD) services must promptly notify the Bureau of Quality Assurance in writing of significant changes such as changes of ownership, location, provider name and administrator. This information in needed to ensure that correct payments are made to providers/suppliers under the Medicare program. Frequently, Bureau staff finds these notifications are not occurring consistently.

If you have further questions regarding this information, please contact Lois Jensen, Human Services Program Coordinator [replaced by Valerie Brinkman (608) 261-6730] or either of these supervisors in the Health Services Section, Juan Flores (replaced by Cremear Mims, (414) 227-4556) or Jane Walters (replaced by Jan Heimbruch, (608) 243-2086).

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