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
Built by the Tribune's code from the Federal Register. No AI wrote this page. Published in the Federal Register Oct. 30, 2026. Document 2026-22194. Updated Nov. 5, 2026.
- What it does
This final rule updates and revises the End-Stage Renal Disease (ESRD) Prospective Payment System for calendar year 2027. This rule also includes updates to the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury. In addition, this rule updates the requirements for the ESRD Quality Incentive Program.
The Centers for Medicare & Medicaid Services's summary, as published in the Federal Register.
- What changed in the regulation
1 part of Title 42 of the Code of Federal Regulations:
- Compared with
The Centers for Medicare & Medicaid Services has published 20 final rules in 2026 so far, compared with 12 in all of 2025.
Counted by the Tribune from Federal Register records since Jan. 1, 2025.
- Before this
1 earlier Federal Register document under regulation identifier 0938-AV81 since Jan. 1, 2025.
- What happens next and when
These regulations are effective on January 1, 2027.
The agency's dates, word for word.
The record as published
| Document number | 2026-22194 |
|---|---|
| Action | Final rule. |
| Agencies | Health and Human Services Department; Centers for Medicare & Medicaid Services |
| Published | Oct. 30, 2026 |
| Effective date | Jan. 1, 2027 |
| Regulation identifier (RIN) | 0938-AV81 |
| Docket | CMS-2026-2245 |
Source: the Federal Register (public domain). The document in the Federal Register