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HHS/CMS RIN: 0938-AV60 Publication ID: Spring 2025 
Title: End-Stage Renal Disease (ESRD) Treatment Choices (ETC) Model Updates (CMS-5543) 
Abstract:

The ESRD ETC Model is a mandatory model that incentivizes greater use of home dialysis and transplantation.  Participants are rewarded for greater use of home dialysis and penalized for not meeting achievement and improvement benchmarks.  Hurricane Helene affected home dialysis supply across the country.  This interim final rule would make policy changes to the model to account for its effects and effects from other unforeseen circumstances that impair model participant’s ability to perform in the model.

 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: No  Unfunded Mandates: No 
EO 14192 Designation: Other 
CFR Citation: 42 CFR 512   
Legal Authority: 42 U.S.C. 1315a   
Legal Deadline:  None
Timetable:
Action Date FR Cite
To be merged with 0938-AV52  07/00/2025 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Related RINs: Merged with 0938-AV52 
Agency Contact:
Tom Duvall
Division Director, Division of Special Populations and Projects
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare & Medicaid Innovation, MS: WB-06-05, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-8887
Email: tom.duvall@cms.hhs.gov