(See HI 00801.216).
If the above requirements for entitlement are met, entitlement to R-HI begins the
earliest of the first day of:
the 3rd month after the month in which dialysis begins; or
the month dialysis begins, if before the qualifying period would have ended, the individual
begins a self-dialysis training program in a renal Medicare approved center, has completed
or is expected to complete the program, and can reasonably be expected to self-dialyze
after the training (i.e., effective 10/1/78, the qualifying period may be waived in
cases of appropriate self-dialysis training), or
the month dialysis is resumed following a previously terminated period of R-HI (i.e.,
no new qualifying period, 10/78 on, if prior R-HI entitlement existed); or
the month of kidney transplant surgery; or
the month 10/78 or later, a decision of transplant surgery is made, provided:
the individual is an inpatient in a renal Medicare approved hospital when the decision
is made, and
surgery is performed no later than 2 months after the month of that decision; or
two months prior to the month of transplant surgery, 10/78 or later, provided:
The requirements in 5. (above) are met except that the surgery is performed more than
2 months after the month of decision.
This provision would be applicable should surgery be postponed.
NOTE: If an issue of early transplant entitlement prior to 10 /78 arises, see HI 00801.221B. The first possible month of entitlement under the 1978 Amendments is 10/78.