Crosswalk

Crosswalk for Changes to Section 226A of the Social Security Act
ESRD Death Notification (CMS-2746)
Table. Crosswalk to Section 226A of the Social Security Act
Section of Current CMS-2746
(10/22)
Question #3
Question #5
Question #6
Question #11
Question #12
Question #13
Question #16

Type of Change

Rationale for Change

Add: Place for Social Security
Number
Add: Selection of Decline to
Answer for sex at birth
Add: Section to provide clarity
of gender
Change: Clarified provider is
the dialysis facility/transplant
center caring for the deceased

Necessary for improved
identification to stop benefits
Provide inclusion for gender
identity
Provide inclusion for gender
identity

Add: (for item 11)
Change: Clarified provider is
the dialysis facility/transplant
center caring for the deceased
Add: Yes, related to hospice
care

Question #17

Add: Did the patient ever
receive a transplant

Question #17

Add: Did the transplant
patient experience a shortterm course (acute) of dialysis
prior to death

Question #18

Add: Palliative

Provide clarity on which
provider should be identified
Provide clarity for which
facility a certification number
should be provided
Provide clarity on which
provider should be identified
Provided clarity regarding the
reason dialysis was stopped
Provide the responder clarity
that the remaining questions
in the section do not need to
be addressed
Provide clarity surrounding
the circumstances of a
transplant patient’s death
Provided the ability to
identify palliative care as well
as hospice care at end of life

The remainder are updates on the accompanying Instructions for Completion based on the
suggestions from ESRD Networks, ESRD provides, and other stakeholders.