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CHA Issues Summary of CY 2021 End Stage Renal Disease PPS Final Rule

For CEOs, CFOs, government relations staff, post-acute care staff

CHA has issued a detailed summary, prepared by Health Policy Alternatives, of the calendar year 2021 end-stage renal disease (ESRD) prospective payment system (PPS) final rule.  

In addition to the payment updates, the summary highlights changes that include: 

  • Updates to the ESRD PPS wage index to adopt the 2018 Office of Management and Budget delineations with a transition period  
  • Addition to the ESRD PPS base rate to include calcimimetics in the ESRD PPS bundled payment  
  • Changes to the eligibility criteria and determination process for the transitional add-on payment adjustment for new and innovative equipment and supplies (TPNIES)  
  • Expansion of TPNIES to include new and innovative home dialysis machines  
  • Changes to the low-volume payment adjustment eligibility criteria and attestation requirement in response to the COVID-19 public health emergency  

The summary also details the updates to the acute kidney injury dialysis payment rate and the finalized changes to the ESRD Quality Incentive Program.