Alert detail
CMS Transmittal R246SOMA: Revisions to the State Operations Manual (SOM) Appendix H, End-Stage Renal Disease (ESRD)…
What changed
SOM Appendix H ESRD survey guidelines revised effective Aug 17, 2026.
Who’s affected: ESRD billing teams · Effective: August 17, 2026
Primary source: View the official CMS/MAC document ↗
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