End Stage Renal Disease (ESRD) services are outpatient
maintenance services provided by a freestanding ESRD facility or hospital-based
renal dialysis center
National Provider Identifier, Type, and Specialty A provider
who contracts with Alabama Medicaid as a renal dialysis provider is added to the
Medicaid system with the National Provider Identifiers provided at the time
application is made. Appropriate provider specialty codes are assigned to
enable the provider to submit requests and receive reimbursements for
dialysis-related claims.
NOTE:
The 10-digit NPI is required when filing a claim.
Renal Dialysis Facility providers are assigned a provider
type of 30 (Renal Dialysis Facility). The valid specialty for Renal Dialysis
Facility providers is Hemodialysis (300).
Enrollment Policy for Renal Dialysis Facility Providers
To participate in Medicaid, End Stage Renal Disease (ESRD)
facilities/centers must meet the following requirements:
• Certification for participation in the Title XVIII
Medicare Program
• Approval by the appropriate licensing authority
Satellites and sub-units of facilities or centers must be
separately approved and contracted with Medicaid
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