# Medicare Programs: Changes to the End-Stage Renal Disease Prospective Payment System Transition Budget-Neutrality Adjustment
> **Centers for Medicare and Medicaid Services** · Interim final rule with comment period. · Published 2011-04-06 · Effective 2011-04-01 · 76 FR 18930
## Document
- **Document number:** 2011-8181
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 76 FR 18930
- **CFR reference:** 42 CFR 413
- **Publication date:** 2011-04-06
- **Effective date:** 2011-04-01
- **HHS docket:** CMS-1435-IFC
## Abstract

This interim final rule with comment will revise the end-stage renal disease (ESRD) transition budget-neutrality adjustment finalized in the CY 2011 ESRD Prospective Payment System (PPS) final rule for renal dialysis services provided on April 1, 2011 through December 31, 2011. We are revising the transition budget-neutrality adjustment to reflect the actual election decision to receive payment under the ESRD PPS for renal dialysis services furnished on or after January 1, 2011 made by ESRD facilities, rather than projected elections using the same methodology as described in the ESRD PPS proposed and final rules. This results in a zero percent adjustment for renal dialysis services furnished April 1, 2011 through December 31, 2011.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2011/04/06/2011-8181/medicare-programs-changes-to-the-end-stage-renal-disease-prospective-payment-system-transition)
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