Medicare program; payment change for home dialysis--HCFA. Final rule.
This final rule implements section 6203(b) of the Omnibus Budget Reconciliation Act of 1989, which limits Medicare payment for home dialysis equipment, supplies, and support services. Also, in accordance with section 6203(b), we are requiring that, for Medicare payments to be made to a supplier of home dialysis supplies and equipment when the patient's self-care home dialysis is not under the direct supervision of a Medicare approved renal dialysis facility, the patient must certify that the supplier is the sole supplier of his or her dialysis supplies and equipment. In addition, the supplier must agree to receive payment on an assignment basis only and must certify that it has entered into a written agreement with an approved dialysis facility, under which the facility agrees to furnish the patient with all home dialysis services. We are also providing a one-time-only opportunity for certain home dialysis patients to immediately change their current method of payment.
D014487:Centers for Medicare and Medicaid Services, U.S.; D017046:Cost Savings / Q000379:methods; D004389:Durable Medical Equipment / Q000191:economics*; D006437:Hemodialysis, Home / Q000191:economics* / Q000295:instrumentation; D006801:Humans; D016345:Medicare Part B / Q000331:legislation & jurisprudence*; D012051:Reimbursement Mechanisms / Q000331:legislation & jurisprudence; D014481:United States