ACTUAL PROPOSAL AND WHERE TO SEND OBJECTIONS
Jul 7, 2013 —
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 413 and 414
Medicare Program; End-Stage Renal Disease Prospective Payment System, Quality
Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Proposed rule.
SUMMARY: This rule proposes to update and make revisions to the End-Stage Renal Disease
(ESRD) prospective payment system (PPS) for calendar year (CY) 2014. This rule also proposes
to set forth requirements for the ESRD quality incentive program (QIP), including for payment
year (PY) 2016 and beyond. In addition, this rule proposes to clarify the grandfathering
provision related to the 3-year minimum lifetime requirement (MLR) for Durable Medical
Equipment (DME). In addition, it provides clarification of the definition of routinely purchased