MLN Matters Article (Revised) MM12741: Quarterly Update to the End-Stage Renal Disease Prospective Payment System (ESRD PPS)
This new Article comprises Subregulatory Guidance regarding revised list of outlier services to include 27 NDCs, updated mean unit cost for renal dialysis drugs that are oral equilavanets to injectable drugs, and revised mean dispensing fees to NDCs for outlier to $0.57 per NDC per month. MLN Matters (MM) Articles are based on information contained within Change Requests (CRs). In this case, this article is based on content within CR12741 that is posted on the CMS website at https://www.cms.gov/files/document/r11424CP.pdf.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: May 23, 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.