Enrollment of End Stage Renal Disease (ESRD) Members

30.3 - Enrollment of End Stage Renal Disease (ESRD) Members (Rev. 111, 05-03-13, Effective: 05-03-13, Implementation: 05-03-13) CMS has granted an additional waiver of 42 CFR 422.50(a) (2) to allow employer/union group members who have ESRD to enroll in employer/union-sponsored MA plans, under certain circumstances. The MA organizations may choose to accept enrollees with ESRD who are enrolling in an MA plan through an employer or union group under any one of four scenarios described in Medicare Managed Care Manual Chapter 2 (Medicare Advantage). As a condition, the MA organizations that choose to apply this waiver must agree to apply it consistently; MAOs must consistently allow enrollment of employer/union group ESRD beneficiaries in all plan benefit packages offered by the MAO under a particular MA contract. Each year, MA organizations may choose whether or not to apply this waiver at the time of their renewal. For further information, refer to Medicare Managed Care Manual, Chapter 2 (Medicare Advantage Enrollment and Disenrollment), §20.2.3.