Home and Self-Dialysis

100.6.3 Home and Self-Dialysis (Rev. 13599, Issued: 01-30-26, Effective: 05-01-26, Implementation: 05-01-26) Beginning on January 1, 2025, the home dialysis benefit defined at 42 CFR § 410.52 will be extended to beneficiaries with AKI for both PD and HD. The payment amount for home dialysis for AKI beneficiaries will be the same as the payment amount for in-center dialysis for AKI beneficiaries, consistent with payment parity within the ESRD PPS (based on the ESRD PPS base rate adjusted for geographic area according to the wage index, described in §60.B.2 of this chapter). The ESRD PPS add-on payment adjustment for home and self-dialysis training will also be extended to AKI beneficiaries using a home modality, in the same amount as for patients with ESRD ($95.57). The limit for training treatments for PD and HD will be 15 and 25 per patient, respectively, excluding retraining sessions.