CMS Announces CY 2026 ESRD Prospective Payment System (PPS) Final Rule

CMS Announces CY 2026 ESRD Prospective Payment System (PPS) Final Rule

November 20, 2025

The Centers for Medicare & Medicaid Services (CMS) announces that the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) Final Rule for calendar year (CY) 2026 went on display on Thursday, November 20, 2025.

Each year, CMS issues a final rule to update the Medicare payment policies and rates for renal dialysis services furnished to beneficiaries. Additionally, this rule finalizes updates to the ESRD Quality Incentive Program (QIP) requirements, including the removal of the Facility Commitment to Health Equity reporting measure, the Screening for Social Drivers of Health reporting measure and the Screen Positive Rate for Social Drivers of Health reporting measure from the ESRD QIP beginning with PY 2027, as well as modifying the In-center Hemodialysis Consumer Assessment of Healthcare Providers (ICH CAHPS) Clinical Measure beginning with PY 2028.

For additional information, use the following links:

Fact Sheet: https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2026-end-stage-renal-disease-esrd-prospective-payment-system-final-rule

Federal Register: The Final Rule is displayed on the Office of the Federal Register website.

 Further information about the ESRD QIP is available on the CMS.gov website.