DI 45001.000 ODO Processing of Initial End-Stage Renal Disease (ESRD) Medicare Cases

Subchapter Table of Contents
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Transmittal
DI 45001.001 End-Stage Renal Disease (ESRD) Entitlement Provisions
DI 45001.005 Processing ESRD Claims TN 2 07-04
DI 45001.010 Non-Medical Review of Non-DOFA ESRD Claims
DI 45001.015 Medical Review of Non-DOFA ESRD Claims
DI 45001.020 Processing ESRD Claims of Railroad Retirement Beneficiaries
DI 45001.025 Completion of the SSA-892-U3
DI 45001.030 Completion of the Automated 101 (A101)
DI 45001.040 Multiple ESRD Entitlement Periods
DI 45001.045 Establishing a Temporary HI Record
DI 45001.055 Report of Transplant or Cessation of Dialysis After Entitlement
DI 45001.060 Equitable Relief in Initial ESRD Cases
DI 45001.065 Processing ESRD Medicare Disallowances
DI 45001.070 State Buy-In Agreement
DI 45001.075 ESRD Notices
Exhibits—Notices and Forms
DI 45001.076 ESRD Medicare Disallowance
DI 45001.077 R-HI/R-SMI Award Based on Kidney Transplant (Temporary Notice) TN BASIC 03-86
DI 45001.078 R-HI/R-SMI Award Based on Kidney Dialysis—Training Approved (Temporary Notice) TN BASIC 03-86
DI 45001.079 R-HI/R-SMI Award Based on Kidney Dialysis—No Participation in Self-Dialysis Training (Temporary Notice) TN BASIC 03-86
DI 45001.080 R-HI/R-SMI Award Based on Kidney Dialysis—Self-Dialysis Training Questionable (Temporary Notice) TN BASIC 03-86
DI 45001.081 R-HI/R-SMI Award Based on Transplant or Dialysis, Entitlement Dates Are the Same or Later Than D-HI/D-SMI Coverage (Conversion Notice) TN BASIC 03-86
DI 45001.082 R-HI/R-SMI Award Based on Transplant or Dialysis, Entitlement Dates Are the Same or Later Than Age 65 HI/SMI Coverage (Conversion Notice) TN BASIC 03-86
DI 45001.083 R-HI/R-SMI Award Based on Transplant to Premium HI/SMI Beneficiary, Entitlement Dates Are The Same or Later Than Premium HI/SMI Coverage (Conversion Notice) TN BASIC 03-86
DI 45001.084 R-HI/R-SMI Award Based on Dialysis to Premium HI/SMI Beneficiary, Entitlement Dates Are The Same or Later Than Premium HI/SMI Coverage (Conversion Notice) TN BASIC 03-86
DI 45001.085 R-HI/R-SMI Award Based on Transplant, Age 65 SMI Beneficiary Did Not Have HI (Conversion Notice) TN BASIC 03-86
DI 45001.086 R-HI/R-SMI Award Based on Dialysis, Age 65 SMI Beneficiary Did Not Have HI (Conversion Notice) TN BASIC 03-86
DI 45001.087 Subsequent Determination of Deferred Decision, Approval of Earlier R-HI/ R-SMI Entitlement Based on Self-Dialysis Training TN BASIC 03-86
DI 45001.088 Subsequent Determination of Deferred Decision, Denial of Earlier R-HI/ R-SMI Entitlement Based on Self-Dialysis Training TN BASIC 03-86
DI 45001.089 Acknowledgement of Report of Kidney Transplant TN BASIC 03-86
DI 45001.090 Acknowledgement of Report of Cessation of a Regular Course of Dialysis TN BASIC 03-86
DI 45001.091 Dialysis Cessation Pre-termination Notice of R-HI/R-SMI, and Request for Completion of Form CMS-2728-U3, End Stage Renal Disease Medical Evidence Report Medicare Entitlement and/or Patient Registration TN BASIC 03-86
DI 45001.092 Transplant Pre-termination Notice of R-HI/R-SMI, and Request for Completion of Form CMS-2728-U3, End Stage Renal Disease Medical Evidence Report Medicare Entitlement and/or Patient Registration TN BASIC 03-86
DI 45001.093 R-HI/R-SMI Coverage Continuance—Dialysis Resumed After Transplant TN BASIC 03-86
DI 45001.094 R-HI Entitlement, R-SMI Refused (Temporary Notice) TN BASIC 03-86
DI 45001.095 Revised Determination, Earlier Medicare Entitlement Based on Transplant TN BASIC 03-86
DI 45001.096 R-HI/R-SMI Entitlement Based on Transplant, Closed Period TN BASIC 03-86
DI 45001.097 R-HI/R-SMI Entitlement Based on Dialysis, Closed Period TN BASIC 03-86
DI 45001.098 Final Notice of Medicare Termination Due to ESRD Cessation (Dialysis Ended) TN BASIC 03-86
DI 45001.099 Final Notice of Medicare Termination Due to ESRD Cessation (Transplant) TN BASIC 03-86
DI 45001.100 Notification of Equitable Relief—ESRD Termination (Dialysis), DOTH is Earlier Than DOTS—Beneficiary Not Notified Timely TN BASIC 03-86
DI 45001.101 Notification of Equitable Relief—ESRD Termination (Transplant), DOTH is Earlier Than DOTS—Beneficiary Not Notified Timely TN BASIC 03-86
DI 45001.102 R-HI/R-SMI Award When RRB Jurisdiction for Medicare is Involved TN BASIC 03-86
DI 45001.103 Final Notice of Medicare Termination (Due to ESRD and Dialysis Cessations) When RRB Jurisdiction is Involved TN BASIC 03-86
DI 45001.104 Final Notice of Medicare Termination (Due to ESRD Cessation—Transplant) When RRB Jurisdiction is Involved TN BASIC 03-86
DI 45001.105 R-HI/R-SMI Award When RRB Jurisdiction Involved—LAF Code “E” Cases
DI 45001.106 Form, HCFA-8063 - Internal Temporary HI Record
DI 45001.107 Signature File Card for Completion of Form HCFA-8063 TN BASIC 03-86
DI 45001.108 CRD (ESRD) Kidney Transplant Beneficiaries Listing TN BASIC 03-86
DI 45001.109 HIB-SMIB Data Enrollment Card Coding Sheet
DI 45001.110 Renal Provider List
DI 45001.111 Form SSA-892-U3—End Stage Renal Disease (ESRD) Medicare Determination
DI 45001.200 Federal Employment Involved in the Insured Status of ESRD Medicare Claimants
DI 45001.205 FO Responsibilities for ESRD Claims
DI 45001.210 ODO Earnings Reviewer Responsibilities
DI 45001.313 Case Processing — Initial Awards (No Record of Beneficiary on MBR) or Claimant Had Medicare Entitlement Which Has Ceased on Own SSN TN 1 07-04
DI 45001.324 Processing ESRD Medicare Claims With Railroad Retirement Board Involvement TN 1 07-04
DI 45001.326 Processing ESRD Claims Involving Insured Status Based on Government Employment TN 1 07-04
DI 45001.330 Equitable Relief in Initial ESRD Cases TN 1 07-04
DI 45001.340 ESRD Medicare Disallowance TN 1 07-04
DI 45001.341 Notice — R-HI/R-SMI Award Based on Transplant or Dialysis, Entitlement Dates are the Same or Later Than D-HI/D-SMI Coverage (Conversion Notice) TN 1 07-04
DI 45001.342 Notice — R-HI/R-SMI Award Based on Transplant or Dialysis, Entitlement Dates are the Same or Later Than Age 65 HI/SMI Coverage (Conversion Notice) TN 1 07-04
DI 45001.343 Notice — R-HI/R-SMI Award Based on Transplant to Premium HI/SMI Beneficiary, Entitlement Dates are the Same or Later Than Premium HI/SMI Coverage (Conversion Notice) TN 1 07-04
DI 45001.344 Notice — R-HI/R-SMI Award Based on Dialysis to Premium HI/SMI Beneficiary, Entitlement Dates are the Same or Later Than Premium HI/SMI Coverage (Conversion Notice) TN 1 07-04
DI 45001.345 Notice — R-HI/R-SMI Award Based on Transplant, Age 65 SMI Beneficiary Did Not Have HI (Conversion Notice) TN 1 07-04
DI 45001.346 Notice — R-HI/R-SMI Award Based on Dialysis, Age 65 SMI Beneficiary Did Not Have HI (Conversion Notice) TN 1 07-04
DI 45001.347 Notice — R-HI/R-SMI Award When RRB Jurisdiction for Medicare is Involved: TN 1 07-04
DI 45001.348 Notice — R-HI/R-SMI Award When RRB Jurisdiction Involved — LAF Code “E” Cases TN 1 07-04
DI 45001.355 ESRD Paragraphs TN 1 07-04

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DI 45001.000 - ODO Processing of Initial End-Stage Renal Disease (ESRD) Medicare Cases - Table of Contents - 10/12/1995
Batch run: 09/26/2018
Rev:10/12/1995