(Nov. 6, 2026) – MLN Connects Provider eNews from the Medicare Learning Network
The Centers for Medicare & Medicaid Services issued the following updates in the MLN Connects Provider eNews:
CMS Issues CY 2027 Medicare End-Stage Renal Disease PPS Final Rule
The Centers for Medicare & Medicaid Services released the final rule for the calendar year 2027 Medicare End-Stage Renal Disease Prospective Payment System. Highlights include the following:
- Hospital-based and freestanding ESRD facilities are projected to see a 2.7 percent increase in total payments.
- CMS continues to apply a five percent cap on wage index decreases.
- Updates were made to the ESRD Quality Incentive Program.
CMS Finalizes Organ Procurement Organization Conditions for Coverage RuleThe Centers for Medicare & Medicaid Services
issued revised
Conditions for Coverage for Organ Procurement Organizations.
Revisions include clarifying the definition of "unsound medical practices," modifying the definition of "adverse event," requiring an OPO's medical director to hold a license in at least one of the states within one of the OPO's service areas and updating the appeals process.