ESRD & AKI Dialysis: CY 2026 Update

Related CR Release Date: December 31, 2025
MLN Matters Number: MM14313
Effective Date: January 1, 2026 
Related Change Request (CR) Number: CR 14313
Implementation Date: January 5, 2026 
Related CR Transmittal Number: R13516BP

CR 14313 tells you about:

  • Base rate, labor-related share, and wage index
  • Outlier and rural adjustment transition policies
  • Transitional drug add-on payment adjustment (TDAPA) and post-TDAPA add-on payment adjustment amounts

Make sure your billing staff knows about updates to the ESRD Prospective Payment System (PPS) and Acute Kidney Injury (AKI) dialysis payment, effective January 1, 2026.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)14313.

Last Updated Jan 08 , 2026