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End-Stage Renal Dialysis Facility Certification
This page contains information and forms required to operate as an end-stage renal dialysis facility in Minnesota.
Responsibilities and Requirements for End-Stage Renal Dialysis Certification
For the process required to make changes to your Medicare certifications, see below for specific information:
- Initial Medicare Certification
- Relocation of Facility
- Add Services
- Change of Administrator
- Doing Business as (DBA) Name Change
- Legal Entity Name Change (not a change of ownership)
- Change of Ownership
Involuntary Discharge Reporting
Providers are responsible for submitting reports of involuntary discharge or transfer of patients to MDH as described in the State Operations Manual, Appendix H, part V767 (available on the CMS End-Stage Renal Disease Facilities website).
Send reports of involuntary discharge to Health.FederalTriage@state.mn.us with the subject line Involuntary Discharge Report. Reports should include the following:
- Provider's name and location
- Patient name
- The reason for the discharge
- Whether the discharge is planned (with 30-day notice) or abbreviated.
Department of Labor and Industry: Quick Reference Guide to Care Facilities in Minnesota (PDF)
State Operations Manual, Chapter 2-The Certification Process
State Operations Manual, Chapter 5, Complaint Procedures
State Operation Manual, Appendix H- Guidance to Surveyors: End-Stage Renal Disease Facilities
Click on "Appendices Table of Contents," then click on the letter H, End-Stage Renal Disease Facilities.
Medicare Benefit Policy Manual, Chapter 11, End Stage Renal Dialysis (PDF)
Centers for Medicare and Medicaid Services (CMS) Information on End-Stage Renal Dialysis
CMS: End-Stage Renal Disease (ESRD)
Center for Clinical Standards and Quality/Survey & Certification Group
CMS Policy & Memos to States and Regions
CMS issues S&C memos weekly. It will be the responsibility of providers to check weekly for new information listed at the CMS S&C memo website.
Quality Assurance for the Medicare & Medicaid Program Mission & Priority Document (MPD)
The mission of the survey and certification (S&C) program is to assure basic levels of quality and safety for all patients, residents and clients receiving care from Medicare and Medicaid certified institutional providers. Survey and certification is the system that provides on-site, objective and outcome-based verification by knowledgeable and trained individuals to assure that basic standards of quality are being met by healthcare providers across the nation or, if not met, that appropriate remedies are promptly applied and implemented effectively.
Fiscal Year (FY) 2032 Mission & Priority document (MPD) – Action
Important Federal Survey Data Including Results of Inspections and Complaints
S&C's Quality, Certification and Oversight Reports (QCOR)
Quality and Certification Oversight Reports (QCOR) website includes summarized federal survey and certification and complaints data, including results of on-site inspections, of providers and suppliers and deficiency data links and more.
Dialysis Facility Compare
Medicare.gov Dialysis Facility Compare
Medicare data comparing dialysis facilities (centers) quality of patient care the facility provides and comparison of patient experience survey results.
Federal and State Emergency Preparedness
Emergency Preparedness Rule
Emergency preparedness resources and surveyor tool.
Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers
Links to resources that can help provider and suppliers comply with the recently released Centers for Medicare & Medicaid Emergency Preparedness Rule. Has a document titled "Resources at Your Fingertips," which contains check lists and fact sheets on the essential four core elements of the CMS Emergency Preparedness Rule.
State Operation Manual, Appendix Z- Guidance to Surveyors: Emergency Preparedness for All Provider and Certified Supplier Types Interpretive Guidance
Directions: Select Appendices Table of Contents, Scroll to Appendix Letter Z, and Federal Regulations for Emergency Preparedness for All Provider and Certified Supplier types
CMS Quality, Safety & Education Portal (QSEP) - CMS Emergency Preparedness Basic Surveyor Training Course (EP)
The Centers for Medicare & Medicaid Services (CMS) Survey & Certification Group (SCG) developed the Emergency Preparedness Basic Surveyor Training Course to help health and safety and Life Safety Code (LSC) surveyors and reviewers gain proficiency in surveying all affected participating providers and certified suppliers for compliance with their individual emergency preparedness requirements. Because the individual regulations for each provider and supplier type share a majority of standard provisions, this training provides consistent guidance and survey procedures for all provider and supplier types in a single course. The estimated course completion time for this training is 16 hours.
MDH Emergency Preparedness & Response Contact Information
This section of MDH coordinates preparedness activities and assists Minnesota Department of Health staff, local public health agencies, hospitals, health care organizations, tribes and public safety officials in their efforts to plan for respond to and recover from public health emergencies.
CMS Quality, Safety & Education Portal (QSEP) - CMS Surveyor Training
The Quality, Safety & Education Portal (QSEP) site includes a wealth of resources and training opportunities including webcasts and archived webinars. These video broadcasts are utilized to facilitate joint training between the state survey agencies and providers using the technology available via satellite communications. The training is updated periodically by CMS. Use the search bar to find courses.
E-health is the adoption and effective use of Electronic Health Record (EHR) systems and other health information technology (HIT) to improve health care quality, increase patient safety, reduce health care costs, and enable individuals and communities to make the best possible health decisions.
MDH Health Regulation Division Information Bulletins
Includes MDH updates. Subscription for automatic updates via email.
Other Important Information
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