(CMS-R-52) End State Renal Disease (ESRD) Conditions for Coverage and Supporting Regulations

OMB 0938-0386

The CfCs were amended to create new disclosure requirements to prevent inappropriate steering of dialysis patients into individual market health plans rather than Medicare and/or Medicaid. These require certain facilities to make disclosures of premium assistance payments made by dialysis suppliers, funds available to patients, and complete information about the extents and limitations of all coverage options.

The latest form for (CMS-R-52) End State Renal Disease (ESRD) Conditions for Coverage and Supporting Regulations expires 2020-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
CMS-R-52 Supporting Statement 06-05-20.docx Supporting Statement A
42 CFR 494.180(k)
42 CFR 494.70(c) part 3
42 CFR 494.70(c)
42 CFR 494.70(c) part 2
42 CFR 494.60(d)(4) old facilities
42 CFR 494.180 (h)
42 CFR 494.180(g)(3) old facilities
42 CFR 494.180(g)(3) new facilities
42 CFR 494.180(g)(2)
42 CFR 494.180 (f)(4)(iii)
42 CFR 494.180(f)(4)(ii)
42 CFR 494.180 (e)
42 CFR 494.170 (d)
42 CFR 494.110 old facilities
42 CFR 494.110 new facilities
42 CFR 494.100(C)(1)
42 CFR 494.60(d)(4) new facilities
42 CFR 494.40(c)
42 CFR 494.30(b)(3) and 494.40 (b)92)(ii)(c)
42 CFR 494.30 (a)(ii)
42 CFR 488.60

All Historical Document Collections

202008-0938-010	Reinstatement without change of a previously approved collection	2020-08-14
201612-0938-014 Approved with change	Revision of a currently approved collection	2016-12-16
201311-0938-025 Approved without change	Reinstatement with change of a previously approved collection	2013-11-20
200701-0938-010 Approved without change	Extension without change of a currently approved collection	2007-01-12
200304-0938-008 Approved without change	Extension without change of a currently approved collection	2003-04-18
200102-0938-007 Approved without change	Reinstatement without change of a previously approved collection	2001-02-13
199711-0938-005 Approved without change	Extension without change of a currently approved collection	1997-11-25
199410-0938-008 Approved without change	Revision of a currently approved collection	1994-10-12
199109-0938-002 Approved without change	Reinstatement with change of a previously approved collection	1991-09-25
198805-0938-007 Approved without change	Revision of a currently approved collection	1988-05-11
198702-0938-009 Approved without change	Revision of a currently approved collection	1987-02-17
198601-0938-004 Approved without change	Reinstatement with change of a previously approved collection	1986-01-29
198408-0938-017 Approved without change	New collection (Request for a new OMB Control Number)	1984-08-28

OMB Details

42 CFR 488.60

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