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HHS/CMS RIN: 0938-AP91 Publication ID: Spring 2011 
Title: Quality Incentives in the End-Stage Renal Disease (ESRD) Program (CMS-3206-F) 
Abstract: This rule establishes the methodology for assessing the total performance of each provider of services and renal dialysis facility based on performance standards for the measures called for under the Social Security Act. The rule establishes performance standards, performance periods, and a methodology for assessing the total performance of each provider/facility. If a provider/facility fails to meet or exceed the total performance score with respect to the performance standards established for the selected measures, payments to the provider/facility will be reduced by up to two percent as determined appropriate by the Secretary. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 413   
Legal Authority: section 1881 (h) of the Social Security Act   
Legal Deadline:
Action Source Description Date
Final  Statutory    01/01/2012 

Overall Description of Deadline: Payment consequence occurs with respect to renal dialysis services furnished on or after January 1, 2012.

Timetable:
Action Date FR Cite
NPRM  08/12/2010  75 FR 49215   
NPRM Comment Period End  09/24/2010    
Final Action  01/05/2011  76 FR 628   
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Lynn Riley
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Mail Stop S2-12-25, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-1286
Email: lynn.riley@cms.hhs.gov