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Data / Federal rules / 2025-20681

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

The Centers for Medicare & Medicaid Services published this final rule in the Federal Register on November 24, 2025. It took effect on January 1, 2026.

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What the agency says

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.

Key facts

Document number
2025-20681
Type
Final rule
Action
Final rule
Agency
Health and Human Services Department; Centers for Medicare & Medicaid Services
Published
November 24, 2025
Takes effect
January 1, 2026
Dates
These regulations are effective on January 1, 2026.
Docket
CMS-1830-F
Regulation ID (RIN)
0938-AV52
Code of Federal Regulations
42 CFR 413; 42 CFR 512
Topics
Administrative practice and procedure; Diseases; Health care; Health facilities; Health insurance; Intergovernmental relations; Medicare; Penalties; Privacy; Puerto Rico; Reporting and recordkeeping requirements
Significant
Yes, under Executive Order 12866
Pages
75

The document on federalregister.gov PDF

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Everything from the Centers for Medicare & Medicaid Services · Rules on administrative practice and procedure · Rules on diseases · Rules on health care · Published in November 2025

Read from the Federal Register API, last updated 2026-10-24. The document on federalregister.gov is the official record; dates and dockets can change through later corrections. Free to reuse with credit to SpecStream under CC BY 4.0.