Welcome to the End-Stage Renal Disease (ESRD) process guide, designed to walk you through each critical step required to achieve state and federal compliance for your new facility. From initial state notifications and documentation submission to your final CMS survey and certification, follow these steps:
- Send a notification letter and your facility plans to the state agency at least 90 days before opening. This allows the state to review your proposed facility and begin their planning process.
- Submit a copy of your CMS‑855A and the MAC approval letter to the state agency 45 days before opening. These documents confirm your enrollment status so the state can continue processing your application.
- Provide the CMS‑3427 form, Life Safety Code (LSC) Attestation, and three water samples to the state agency two weeks before your planned opening date. These items verify that your facility meets federal safety and water‑quality requirements.
- Notify the state agency once your first patient has been seen. This signals that your operations have officially begun and triggers the next steps.
- The state agency will then conduct the initial survey to confirm that your facility meets all regulatory, safety, and operational standards.
- After the survey is completed and approved, the state agency will submit all required documents to CMS for final approval. Once CMS reviews and approves everything, your facility is fully certified.