{"abstract":"This final rule updates and revises the End-Stage Renal Disease (ESRD) Prospective Payment System for calendar year 2026. This rule also includes updates to the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury. In addition, this rule updates the requirements for the ESRD Quality Incentive Program and terminates and modifies requirements for the ESRD Treatment Choices Model.","action":"Final 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/2025/11/24/2025-20681.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"413","title":42},{"chapter":null,"citation_url":null,"part":"512","title":42}],"citation":"90 FR 53068","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"These regulations are effective on January 1, 2026.","disposition_notes":null,"docket_ids":["CMS-1830-F"],"dockets":[{"supporting_documents":[],"agency_name":"CMS","documents":[{"comment_count":0,"comment_start_date":"2025-11-24","updated_at":"2025-11-24T12:56:31.095-05:00","comment_url":"https://www.regulations.gov/commenton/CMS-2025-0240-0214","allow_late_comments":false,"id":"CMS-2025-0240-0214","comment_end_date":null,"regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"CMS-2025-0240","title":"CY 2026 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System and Quality Incentive Program.  CMS-1830-P"}],"document_number":"2025-20681","effective_on":"2026-01-01","end_page":53142,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2025/11/24/2025-20681.xml","html_url":"https://www.federalregister.gov/documents/2025/11/24/2025-20681/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/2025-20681?publication_date=2025-11-24","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2025-11-24/2025-20681/mods.xml","not_received_for_publication":null,"page_length":75,"page_views":{"count":5476,"last_updated":"2026-07-28 10:15:05 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-11-24/pdf/2025-20681.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-20681.pdf?1763673309","publication_date":"2025-11-24","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2025/11/24/2025-20681.txt","regulation_id_number_info":{"0938-AV52":{"issue":"202504","html_url":"https://www.federalregister.gov/regulations/0938-AV52/cy-2026-changes-to-the-end-stage-renal-disease-esrd-prospective-payment-system-and-quality-incentive","title":"CY 2026 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System and Quality Incentive Program (CMS-1830)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=202504&RIN=0938-AV52&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AV52"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AV52/cy-2026-changes-to-the-end-stage-renal-disease-esrd-prospective-payment-system-and-quality-incentive","title":"CY 2026 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System and Quality Incentive Program (CMS-1830)"},"comments_count":0,"agency_id":"CMS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2025-0240","supporting_documents_count":0,"docket_id":"CMS-2025-0240","document_id":"CMS-2025-0240-0214","regulation_id_number":"0938-AV52","title":"CY 2026 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System and Quality Incentive Program.  CMS-1830-P","checked_regulationsdotgov_at":"2025-11-25T20:55:04Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":53068,"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, and End-Stage Renal Disease Treatment Choices Model","toc_doc":"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, and End-Stage Renal Disease Treatment Choices Model","toc_subject":"Medicare Program","topics":["Administrative practice and procedure","Diseases","Health care","Health facilities","Health insurance","Intergovernmental relations","Medicare","Penalties","Privacy","Puerto Rico","Reporting and recordkeeping requirements"],"type":"Rule","volume":90}