[Code of Federal Regulations] [Title 42, Volume 2] [Revised as of October 1, 2002] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR413.172] [Page 604] TITLE 42--PUBLIC HEALTH HUMAN SERVICES PART 413--PRINCIPLES OF REASONABLE COST REIMBURSEMENT; PAYMENT FOR END-STAGE RENAL DISEASE SERVICES; PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING FACILITIES--Table of Contents Subpart H--Payment for End-Stage Renal Disease (ESRD) Services and Organ Procurement Costs Sec. 413.172 Principles of prospective payment. (a) Payments for outpatient maintenance dialysis are based on rates set prospectively by CMS. (b) All approved ESRD facilities must accept the prospective payment rates established by CMS as payment in full for covered outpatient maintenance dialysis. (c) CMS publishes the methodology used to establish payment rates and the changes specified in Sec. 413.196(b) in the Federal Register.