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Medicare Termination of Beneficiaries With End Stage Renal Disease (ESRD)

This change request does not revise Medicare policies. These instructions relate to a subset of Medicare beneficiaries. We are notifying the contractors not to assess overpayments for service dates prior to the official notice of termination in November 2003, even if under Part A there was a retroactive period of termination. The Centers for Medicare & Medicaid Services (CMS) made this no fault determination decision. As described below, ESRD beneficiaries should have been terminated from Part A coverage prior to December 1999 but it did not happen.

Download the Guidance Document

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

Issue Date: October 29, 2004

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.