# Medicare Program; End-Stage Renal Disease Prospective Payment System
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2010-08-12 · Effective 2011-01-01 · 75 FR 49030
## Document
- **Document number:** 2010-18466
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 75 FR 49030
- **CFR reference:** 42 CFR 410
- **Publication date:** 2010-08-12
- **Effective date:** 2011-01-01
- **HHS docket:** CMS-1418-F
## Abstract

This final rule implements a case-mix adjusted bundled prospective payment system (PPS) for Medicare outpatient end-stage renal disease (ESRD) dialysis facilities beginning January 1, 2011 (ESRD PPS), in compliance with the statutory requirement of the Medicare Improvements for Patients and Providers Act (MIPPA), enacted July 15, 2008. This ESRD PPS also replaces the current basic case-mix adjusted composite payment system and the methodologies for the reimbursement of separately billable outpatient ESRD services.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2010/08/12/2010-18466/medicare-program-end-stage-renal-disease-prospective-payment-system)
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