# Medicare Program; End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2013-12-02 · Effective 2014-01-01 · 78 FR 72156
## Document
- **Document number:** 2013-28451
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 78 FR 72156
- **CFR reference:** 42 CFR 413
- **Publication date:** 2013-12-02
- **Effective date:** 2014-01-01
- **HHS docket:** CMS-1526-F
## Abstract

This rule updates and makes revisions to the End-Stage Renal Disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2014. This rule also sets forth requirements for the ESRD quality incentive program (QIP), including for payment year (PY) 2016 and beyond. In addition, this rule clarifies the grandfathering provision related to the 3-year minimum lifetime requirement (MLR) for Durable Medical Equipment (DME), and provides clarification of the definition of routinely purchased DME. This rule also implements budget-neutral fee schedules for splints and casts, and intraocular lenses (IOLs) inserted in a physician's office. Finally, this rule makes a few technical amendments and corrections to existing regulations related to payment for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) items and services.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2013/12/02/2013-28451/medicare-program-end-stage-renal-disease-prospective-payment-system-quality-incentive-program-and)
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