{"abstract":"This proposed rule would update and make revisions to the End- Stage Renal Disease (ESRD) Prospective Payment System (PPS) for calendar year (CY) 2019. This rule also proposes to update the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury (AKI). In addition, it proposes a rebasing of the ESRD market basket for CY 2019. This proposed rule also proposes to update requirements for the ESRD Quality Incentive Program (QIP), and to make technical amendments to correct existing regulations related to the CBP for certain DMEPOS. Finally, this proposed rule proposes changes to bidding and pricing methodologies under the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) competitive bidding program (CBP); adjustments to DMEPOS Fee Schedule amounts using information from competitive bidding for items furnished from January 1, 2019 through December 31, 2020; new payment classes for oxygen and oxygen equipment and a new methodology for ensuring that new payment classes for oxygen and oxygen equipment are budget neutral; payment rules for multi-function ventilators or ventilators that perform functions of other durable medical equipment (DME); and payment methodology revisions for mail order items furnished in the Northern Mariana Islands. This rule also includes a request for information related to establishing fee schedule amounts for new DMEPOS items and services. It also includes Requests for Information on promoting interoperability and electronic healthcare information exchange, and improving beneficiary access to dialysis facility and DMEPOS charge information.","action":"Proposed rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2018/07/19/2018-14986.html","cfr_references":[{"chapter":null,"citation_url":null,"part":413,"title":42},{"chapter":null,"citation_url":null,"part":414,"title":42}],"citation":"83 FR 34304","comment_url":null,"comments_close_on":"2018-09-10","correction_of":null,"corrections":[],"dates":"To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on September 10, 2018.","disposition_notes":null,"docket_ids":["CMS-1691-P"],"dockets":[{"supporting_documents":[],"agency_name":"CMS","documents":[{"comment_count":514,"comment_start_date":"2018-07-19","updated_at":"2023-03-01T01:35:12.932-05:00","comment_url":"https://www.regulations.gov/commenton/CMS-2018-0079-0002","allow_late_comments":null,"id":"CMS-2018-0079-0002","comment_end_date":"2018-09-11","regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"CMS-2018-0079","title":"CY 2019 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) CMS-1691-P"}],"document_number":"2018-14986","effective_on":null,"end_page":34415,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2018/07/19/2018-14986.xml","html_url":"https://www.federalregister.gov/documents/2018/07/19/2018-14986/medicare-program-end-stage-renal-disease-prospective-payment-system-payment-for-renal-dialysis","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2018-14986?publication_date=2018-07-19","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2018-07-19/2018-14986/mods.xml","not_received_for_publication":null,"page_length":112,"page_views":{"count":8408,"last_updated":"2026-09-21 22:15:07 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2018-07-19/pdf/2018-14986.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2018-14986.pdf?1531340120","publication_date":"2018-07-19","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2018/07/19/2018-14986.txt","regulation_id_number_info":{"0938-AT28":{"issue":"201810","html_url":"https://www.federalregister.gov/regulations/0938-AT28/cy-2019-changes-to-the-end-stage-renal-disease-esrd-prospective-payment-system-quality-incentive-pro","title":"CY 2019 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) (CMS-1691-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201810&RIN=0938-AT28&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AT28"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AT28/cy-2019-changes-to-the-end-stage-renal-disease-esrd-prospective-payment-system-quality-incentive-pro","title":"CY 2019 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) (CMS-1691-F)"},"comments_count":514,"agency_id":"CMS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2018-0079","supporting_documents_count":0,"docket_id":"CMS-2018-0079","document_id":"CMS-2018-0079-0002","regulation_id_number":"0938-AT28","title":"CY 2019 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) CMS-1691-P","checked_regulationsdotgov_at":"2023-03-01T06:35:12Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":34304,"subtype":null,"title":"Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) and Fee Schedule Amounts, and Technical Amendments To Correct Existing Regulations Related to the CBP for Certain DMEPOS","toc_doc":"End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury, EndStage Renal Disease Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies Competitive Bidding Program and Fee Schedule Amounts, etc.","toc_subject":"Medicare Program:","topics":["Administrative practice and procedure","Health facilities","Health professions","Kidney diseases","Medicare","Reporting and recordkeeping requirements"],"type":"Proposed Rule","volume":83}