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HHS/CMS RIN: 0938-AR55 Publication ID: Fall 2013 
Title: CY 2014 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, ESRD Quality Incentive Program, and Durable Medical Equipment (CMS-1526-F) 
Abstract: This final rule updates the bundled payment system for End Stage Renal Disease (ESRD) facilities by 1/1/13. The rule also updates the Quality Incentives in the ESRD Program. In addition, this rule clarifies the grandfathering provision related to the 3-year minimum lifetime requirement for Durable Medical Equipment (DME). It also provides clarification of the definition of routinely purchased DME. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 413    42 CFR 414    42 CFR 417   
Legal Authority: MIPPA sec 153(b)    PL 111-148 sec 3401(h)    ATRA sec 632(a)   
Legal Deadline:
Action Source Description Date
Final  Statutory    11/01/2013 
Action Date FR Cite
NPRM  07/08/2013  78 FR 40835   
NPRM Comment Period End  08/30/2013 
Final Action  11/00/2013 
Regulatory Flexibility Analysis Required: Yes  Government Levels Affected: Federal 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: Yes 
Agency Contact:
Michelle Cruse
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare, MS: C5-05-27, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-7540

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