§413.182. Criteria for approval of exception requests.
42 C.F.R. § 413.182
CMS may approve exceptions to a pediatric ESRD facility's prospective payment rate if the pediatric ESRD facility did not have an approved exception rate as of October 1, 2002.
The pediatric ESRD facility must demonstrate, by convincing objective evidence, that its total per treatment costs are reasonable and allowable under the relevant cost reimbursement principles of part 413 and that its per treatment costs in excess of its payment rate are directly attributable to any of the following criteria:
Pediatric patient mix, as specified in § 413.184.
Self-dialysis training costs in pediatric facilities, as specified in § 413.186.
Notes, amendments, and revision history
Amendments
[70 FR 70331, Nov. 21, 2005]
Source
Source: 62 FR 43668, Aug. 15, 1997, as amended at 86 FR 73515, Dec. 27, 2021, unless otherwise noted.
Authority
Authority: 42 U.S.C. 1302, 1395d(d), 1395f(b), 1395g, 1395l(a), (i), and (n), 1395m, 1395x(v), 1395x(kkk), 1395hh, 1395rr, 1395tt, and 1395ww.
Source
Source: 51 FR 34793, Sept. 30, 1986, unless otherwise noted.
Amendments
[70 FR 70331, Nov. 21, 2005]