COB Playbook

Waiting Period for ESRD Entitlement

 Requires a 3-month (not 90 days) waiting period prior to Medicare entitlement  Waiting period retros back to 1 st day of month RCDB / FDODE occurred  ESRD entitlement begins the fourth month of dialysis In-center Hemodialysis

PD/Home Hemodialysis/Self-care

 Waiting period is waived if training is conducted during the first three months of treatment  ESRD entitlement begins on the first month of dialysis

Conditions for Waiving the Waiting Period *****One waiting period per patient’s lifetime*****

 Training for a specific modality is received during the initial 3- month Medicare ESRD waiting period  A kidney transplant is received during the initial 3-month Medicare ESRD waiting period  If a patient previously received a kidney transplant that was successful for 36+ consecutive months, but later returns to outpatient dialysis due to ESRD  If a patient regained kidney function for 12+ consecutive months, but later returns to outpatient dialysis due to ESRD