42 CFR 512.340
§ 512.340 Payments subject to the Facility HDPA.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 512.340, § 512.340 Payments subject to the Facility HDPA, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/208194
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Full text
CMS adjusts the Adjusted ESRD PPS per Treatment Base Rate by the Facility HDPA on claim lines with Type of Bill 072X, and with condition codes 74 or 76, when the claim is submitted by an ESRD facility that is an ETC Participant with a claim service date during a calendar year subject to adjustment as described in § 512.350 and the beneficiary is at least 18 years old before the first day of the month.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.