Medicare Program; CY 2027 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Acute Kidney Injury Dialysis (AKI) Payment, and ESRD Quality Incentive Program

What it does

This proposed rule would update and revise the End-Stage Renal Disease (ESRD) Prospective Payment System for calendar year 2027. This rule also proposes to update the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury. In addition, this rule proposes to update the requirements for the ESRD Quality Incentive Program.

The Centers for Medicare & Medicaid Services's summary, as published in the Federal Register.

What it would change

1 part of Title 42 of the Code of Federal Regulations:

42 CFR 413

Before this

No earlier Federal Register document under regulation identifier 0938-AV81 since Jan. 1, 2025.

Since then:

• Oct. 30, 2026 Final rule. Medicare Program; CY 2027 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Acute Kidney Injury (AKI) Dialysis Payment, and ESRD Quality Incentive Program

What happens next and when

To be assured consideration, comments must be received at one of the addresses provided below, by August 24, 2026.

The agency's dates, word for word.

Check it yourself

• The document in the Federal Register
• Docket CMS-2026-2245 on Regulations.gov
• Title 42 on eCFR

The record as published

Source: the Federal Register (public domain). The document in the Federal Register