Payment for Home Dialysis

70 - Payment for Home Dialysis (Rev. 10640, Issued:08-06-21, Effective:09-07-21, Implementation:09-07-21) Home dialysis is dialysis performed by an appropriately trained dialysis patient at home. Hemodialysis, CCPD, IPD and CAPD may be performed at home. For renal all dialysis services furnished by an ESRD facility, the facility must accept assignment, and only the facility may be paid by the Medicare program. For purposes of home dialysis, a skilled nursing facility (SNF) may qualify as a beneficiary’s home. The services are excluded from SNF consolidated billing for its inpatients. The home dialysis services are billed by the ESRD facility. With the implementation of the ESRD PPS on January 1, 2011, payment for all home dialysis services furnished to the ESRD beneficiary is made to an ESRD dialysis facility whether services are provided directly or under arrangements.