# Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, and End-Stage Renal Disease Treatment Choices Model
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2025-11-24 · Effective 2026-01-01 · 90 FR 53068
## Document
- **Document number:** 2025-20681
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 90 FR 53068
- **CFR reference:** 42 CFR 413
- **Publication date:** 2025-11-24
- **Effective date:** 2026-01-01
- **HHS docket:** CMS-1830-F
## Abstract

This final rule updates and revises the End-Stage Renal Disease (ESRD) Prospective Payment System for calendar year 2026. 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 and terminates and modifies requirements for the ESRD Treatment Choices Model.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2025/11/24/2025-20681/medicare-program-end-stage-renal-disease-prospective-payment-system-payment-for-renal-dialysis)
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