Finding and Comparing Dialysis Facilities

It is important that people living with ESRD have access to a dialysis facility that suits their needs.  Medicare has data you can use to compare dialysis facilities (centers) based on the type of patient care they provide. It is important to consider a patient's health status/needs as well as insurance and co insurance coverage when selecting dialysis facilities for placement. If you are having difficulty placing a patient into an outpatient dialysis facility.  Please contact Network staff for assistance.

Your first stop for identifying dialysis facilities and their services should be: Dialysis Facility Compare to search, and compare dialysis facilities in the United States and Territories.


Treatment Barriers (Including IVD and IVT)

As a dialysis professional, It is important to educate patients so that they understand their rights and responsibilities when it comes to access to dialysis.  If you are having difficulty with a patient or are having difficulty finding a facility that care for a patient's medical needs, or if you are working with a patient that is at risk for Involuntary discharge, it is important that you contact the Network so that our trained staff can assist you.

ABOUT PATIENT INVOLUNTARY DISCHARGE:  It is the medical director’s responsibility to make sure “that no patient is discharged or transferred from the facility unless
1. The patient or payer no longer reimburses the facility for the ordered services;
2. The facility ceases to operate;
3. The transfer is necessary for the patient’s welfare because the facility can no longer meet the patient’s documented
medical needs; or

4. The facility has reassessed the patient and determined that the patient’s behavior is disruptive and abusive to the
extent that the delivery of care to the patient or the ability of the facility to operate effectively is seriously impaired…”
(§494.180 (f) Standard: Involuntary discharge and transfer policies and procedures; Conditions for Coverage for End Stage Renal Disease Facilities)

Prevent treatment barriers before they become an access to care problem. If a patient is at risk of IVD, IVT, or F2P, please contact the Network immediately

Access to care cases include those involving involuntary discharge (IVD), involuntary transfer(IVT), and failure to place (F2P).

Involuntary Discharge

An involuntary discharge is a discharge initiated by the treating dialysis facility without the patient’s agreement.

Involuntary Transfer

An involuntary transfer occurs when the transferring facility temporarily or permanently closes due to a merger, or due to an emergency or disaster situation, or due to other circumstances, and the patient is dissatisfied with the transfer to another facility.

Failure to Place

A failure to place is defined as a situation in which no outpatient dialysis facility can be located that will accept an ESRD patient for routine dialysis treatment.