Medicare Program; Changes to the End-Stage Renal Disease Prospective Payment System for CY 2012, End-Stage Renal Disease Quality Incentive Program for PY 2013 and PY 2014; Ambulance Fee Schedule; and Durable Medical Equipment

Docket ID: CMS-2011-0129
Agency: Centers for Medicare Medicaid Services (CMS)
Parent Agency: Department of Health and Human Services (HHS)
This major rule updates the bundled payment system for End Stage Renal Disease (ESRD) facilities by January 1, 2012, as required by MIPPA. The rule also updates the Quality Incentives in the ESRD Program. In addition, this rule revises the ambulance fee schedule regulations to conform with statutory changes. Finally, this rule revises the definition of durable medical equipment (DME) by adding a 3-year minimum lifetime criterion that must be met by an item or device in order to be considered durable for the purpose of classifying the item under the Medicare benefit category for DME.
RIN: 0938-AQ27
Impacts and Effects: Small Entities (Business)
CFR Citation: 42 CFR 410,42 CFR 413,42 CFR 414
Priority: Economically Significant
UA and Regulatory Plan Information open glossary dialog  
Publication Period: Fall 2011
Agenda Stage of Rulemaking: Completed Action
Major Rule: Yes
Legal Authorities: sec 1881 of the Social Security Act, MIPPA sec 153(c), MMEA
Government Levels Affected: Federal
Federalism Implications: No
Unfunded Mandates: No
Requires Regulatory Flexibility Analysis: No
Small Entities Affected: Business
International Impacts: No
Energy Effects: No
Included in Regulatory Plan: No
Legal Deadline
ActionDateFR Citation
NPRM07/08/201176 FR 40498
NPRM Comment Period End08/30/2011
Final Action11/10/201176 FR 70228
Docket Details open glossary dialog  
Related RINs: None
Related Dockets: None
Type: Rulemaking

Primary Documents

View All  (3)
Comment Period Closed
Aug 30, 2011 11:59 PM ET
Proposed Rule
Posted: 07/08/2011
ID: CMS-2011-0129-0002
Comment Period Closed
Jul 08, 2011 11:59 PM ET
Proposed Rule
Posted: 07/01/2011
ID: CMS-2011-0129-0001

Supporting Documents

No documents available.


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Comments Received*
Regulatory Timeline
Pre Rule
Current Stage
Proposed Rule
Current Stage
Final Rule
Current Stage
Current Stage
Agency Contact
Janet Samen
Director, Division of Chronic Care Management
Mail Stop C5-05-27 7500 Security Boulevard
Baltimore, MD 21244
*This count refers to the total comment/submissions received on this docket, as of 11:59 PM yesterday. Note: Agencies review all submissions, however some agencies may choose to redact, or withhold, certain submissions (or portions thereof) such as those containing private or proprietary information, inappropriate language, or duplicate/near duplicate examples of a mass-mail campaign. This can result in discrepancies between this count and those displayed when conducting searches on the Public Submission document type. For specific information about an agency’s public submission policy, refer to its website or the Federal Register document.