End Stage Renal Disease (ESRD) Dialysis Facilities

End Stage Renal Disease (ESRD) dialysis facilities are not licensed by the State of Florida. However, there are federal requirements for operating an ESRD in Florida. The Centers for Medicare and Medicaid Services provides a website with important information and resources for patients and family members who want to learn more about chronic kidney disease and dialysis: https://www.cms.gov/center/esrd.asp.

Guidelines for Patients and Family Members

• Review information on the CMS ESRD Compare Web Site
• Visit facilities that interest you
• Talk to dialysis facility staff and patients
• Talk to your doctor
• Contact kidney disease groups. Phone numbers and web sites for some of the kidney diesease groups are found in the Resources section of the CMS web site.

Application/Forms

• ESRD Application & Survey & Certification Report - CMS 3427
• ESRD Medicare Enrollment Application - CMS 855A (with MAC recommendation of approval)
• Life Safety Code Exemption Attestation (Page 4, If Applicable)
  

Resources

• CMS ESRD Facility Conditions for Coverage Regulations, published April 2008
• Medicare Enrollment for Institutional Providers Overview
• Frequently Asked Questions (FAQs) Related to the New ESRD Conditions for Coverage
• Federal Survey Regulation Set used by State Agency Surveyors
• The Centers for Medicare and Medicaid Services (CMS) ESRD Compare Web Site has data that can be used to compare dialysis facilities (centers) based on the quality of patient care they provide. You can also compare their patient experience survey results.
• The Agency for Health Care Administration (Agency) requires all licensees providing residential or inpatient services to use an Agency approved database for reporting its emergency status, planning or operations. The Agency approved database for reporting this information is the Emergency Status System (ESS). ESRDs may utilize this database for reporting.