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Code of Federal Regulations Title 42. Public Health § 42.413.210 Conditions for payment under the end-stage renal disease (ESRD) prospective payment system

Current as of January 02, 2025 | Updated by Findlaw Staff

Except as noted in § 413.174(f), items and services furnished on or after January 1, 2011, under section 1881(b)(14)(A) of the Act and as identified in § 413.217 of this part, are paid under the ESRD prospective payment system described in § 413.215 through § 413.235 of this part.

(a) Qualifications for payment. To qualify for payment, ESRD facilities must meet the conditions for coverage in part 494 of this chapter.

(b) Payment for items and services. CMS will not pay any entity or supplier other than the ESRD facility for covered items and services furnished to a Medicare beneficiary. The ESRD facility must furnish all covered items and services defined in § 413.217 of this part either directly or under arrangements.

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Cite this article: FindLaw.com - Code of Federal Regulations Title 42. Public Health § 42.413.210 Conditions for payment under the end-stage renal disease (ESRD) prospective payment system - last updated January 02, 2025 | https://codes.findlaw.com/cfr/title-42-public-health/cfr-sect-42-413-210/

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