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KIDNEY DIALYSIS CENTERS
 Kidney Dialysis Centers provide services to individuals with chronic kidney failure by offering dialysis treatment or education on how to perform dialysis at home.
ESRD facility services include support from physicians, nurses, nutritionists, and social workers. This interdisciplinary team works with each dialysis patient with the goal of living as normally as possible and maximizing their quality of life.
Two types of dialysis treatment may be performed:
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Hemodialysis involves passing an individual's blood through a machine with a special membrane to remove toxic substances. Hemodialysis may be scheduled for three (3) or four (4) times per week according to physician orders and degree of kidney disease;
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Peritoneal dialysis involves filling the abdomen with a dialysate using the natural abdominal membranes to filter toxic substances from the body. Peritoneal dialysis may be performed several times a day according to physician orders and degree of kidney disease.
ESRD facilities are not licensed by the state, but may be Medicare certified.
Medicare pays for services provided by ESRD facilities that voluntarily seek and are approved for certification by the Federal Health and Human Services, Centers for Medicare and Medicaid Services (CMS). CMS contracts with the Department of Health to evaluate compliance with the federal ESRD regulations by periodically conducting surveys of these facilities.
Kidney Transplant Centers are specialized ESRD facilities located in acute care hospitals. Services provided in these facilities include tissue typing, organ procurement and survey.
To determine the facility's compliance history with federal regulations, you may review the facility's survey history by clicking here and then choosing the county the facility is located in.
Frequently Asked Questions (FAQ) about ESRD facilities
All of the forms and regulations are accessible by using Adobe Reader. If you need the free viewer, click here to download it.
Application for Federal Medicare Certification
Federal Medicare Regulations: Kidney Dialysis Centers
For persons interested in the application process for Medicare certification for an ESRD, here are the steps to follow:
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Request a copy of the federal Medicare regulations for ESRD and an application from the Division of Home Health, or click on the link above for the regulations and for the forms, click on the link under Medicare Forms.
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More information concerning Medicare Certification is available by clicking here.
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Submit the completed application materials to the Division of Home Health.
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Submit the completed CMS-855A Enrollment Application to the selected Fiscal Intermediary.
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After review and acceptance of the application materials and notification from CMS of the approval of the CMS-855A, the Department will conduct a survey before recommending the agency for Medicare certification.
Medicare Forms
The forms below are in pdf format.
Click here for the application needed to participate with your Fiscal Intermediary.
If you have any questions, click here to find the nearest Division field office.
Other Kidney/Dialysis Links
For information on ESRD facilities in your area, click here for the county map, or click here for a complete listing.
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