January 12, 2016

Extension of ESRD Low Volume Attestation to January 22, 2016 (CR9478)

Effective January 1, 2016, an ESRD facility must not be located within five road miles of another ESRD facility under common ownership. The geographic proximity criterion is applicable to all ESRD facilities that are Medicare certified to furnish outpatient maintenance dialysis treatments. For the purpose of determining the number of treatments furnished by the ESRD facility, the number of treatments considered furnished by the ESRD facility would be equal to the aggregate number of treatments furnished by the other ESRD facilities that are both under common ownership, and five road miles or less from the ESRD facility in question.

Note: Prior to January 1, 2016, ESRD facilities that were Medicare certified prior to January 1, 2011, were grandfathered into the geographic proximity criterion.

The attestation deadline for the CY 2016 LVPA attestations has been extended until January 22, 2016, to allow ESRD facilities time to assess their eligibility. MACs shall complete the LVPA verification and review the attestations and determine eligibility using any tools available to them.

After eligibility is assessed, if the status for your facility has changed based on this new guideline, fill out the ESRD Low Volume Attestation formPDF and send it to the address on the form, on or before January 22, 2016.

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