On July 6, The Centers for Medicare & Medicaid Services (CMS) proposed updates to payment policies and rates under the End Stage Renal Disease (ESRD) Prospective Payment System (PPS) for CY 2021. The proposal includes an expansion of the transitional add-on payment adjustment for new and innovative equipment and supplies (TPNIES) to qualifying home dialysis machines to support greater access and innovation for dialysis in the home setting. Proposed changes also include an ESRD base rate increase, updates to the outlier policy and adoption of new OMB delineations. CMS projects that rural ESRD facilities will experience a 0.6 percent increase in their CY 2021 estimated payments. The proposed rule is currently on display and was published in the federal register on July 13, 2020. Find more information here.