Patients who receive home dialysis treatments are reimbursed under the reasonable
charge criteria for durable medical equipment and supplies obtained from suppliers
other than provider facilities. (See HI 00610.200) Payment may also be made for home dialysis supplies and equipment as a separate
benefit.
A variety of contractual arrangements may be entered into by the patient for the leasing
or purchase of a dialysis machine and the delivery of disposable supplies. Most are
generally acceptable under presently applicable criteria. Some contracts provide arrangements
whereby all supplies are furnished through the designated facility in the locality
that is to provide support services to home dialysis patients. If the suppliers and
the designated facility agree to have the supplies routed through the facility, the
reimbursement for the necessary supplies will be made by the intermediary servicing
the provider facility—on a reasonable cost basis.