Dialysis: Service Limitations

(A) Medicare Coverage. Medicare is the primary source of payment for medical care to persons of any age who have chronic renal disease and who require hemodialysis or a kidney transplant. Members being treated for chronic renal disease must be referred to a MassHealth Enrollment Center or their Social Security Administration office to determine Medicare eligibility. (B) Service Limitations. The MassHealth agency pays for hemodialysis only to hospitalized members who are (1) being dialyzed for acute renal failure; (2) receiving initial dialysis for chronic renal failure prior to continuing chronic maintenance dialysis; or (3) receiving dialysis for complications of chronic maintenance dialysis.