Federal Register: CMS Rules · October 30, 2026 · Primary source
Medicare Program; CY 2027 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Acute Kidney Injury (AKI) Dialysis Payment, and ESRD Quality Incentive Program
Summary
CMS published a final rule in the Federal Register on October 30, 2026, updating the ESRD Prospective Payment System for calendar year 2027. The rule revises payment rates for dialysis services provided by ESRD facilities, adjusts the AKI dialysis payment rate, and updates requirements for the ESRD Quality Incentive Program.
What this may mean
ESRD facilities and dialysis providers will receive revised base payment rates effective January 1, 2027, altering reimbursement for routine dialysis and AKI dialysis services. Updated ESRD Quality Incentive Program requirements create new performance measurement obligations that could affect payment adjustments for underperforming facilities.
Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.
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