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ESRD Treatment Choices (ETC) Model Demo Priorities Correction

Change Request (CR) 11390 details the application of demo code 94 to dialysis and dialysis-related claims. A correction is being made through this CR to address the incorrect application of demo code 94 on the VA claims (demo code 31) leading to the VA claims not being processed.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: January 20, 2022

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.