THE ACCESS — AN ATLAS OF THE U.S. DIALYSIS SYSTEMPLATE XII — PROOF STATE — 07|2026

The Regulatory Year-Wheel

A GENERATED VIEW · TWELVE MONTHS OF MANDATORY CLOCKS

The major recurring federal clocks a certified facility answers to, laid on one calendar: the quarterly NHSN windows, the monthly EQRS closures, the annual 2744 — which opens in EQRS in late January and finalizes on the Network’s local clock, the one major cycle with no national deadline.

AN ATLAS OF THE U.S. DIALYSIS SYSTEMPLATE XII
The Regulatory Year-WheelPROOF STATE
ESRD COMPLIANCE CADENCE · THE YEAR-WHEEL OUTER: FIXED DEADLINES (OPEN DOT = APPROXIMATE) · INNER DASHED RINGS: MONTHLY CYCLES · EVERY ITEM CITES ITS RELATIONSHIP ID JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC CMS-2744 opens in EQRS late Jan; finalize is Network-local [R18] NHSN Q4 due Mar 31 [R20] NHSN Q1 due Jun 30 [R20] Network annual report to CMS (Jul 1) [R27] QIP preview window (~30 days, summer) [R55] NHSN Q2 due Sep 30 [R20] PPS final rule (~Nov; effective Jan 1) [R59] USRDS ADR (~fall; 2025 ADR Dec 10) [R60] QIP FPSC / public reporting (~Dec) [R55] NHSN Q3 due Dec 31 [R20] MONTHLY CYCLES EQRS monthly clinical closure [R19] 72x claims to MAC [R64] QAPI monitoring / Kt/V at least monthly [R57] Sources per anchor in views/config/date-anchors.json. Open-dot anchors are approximate rule-cycle timing; verify before publication. The CMS-2744 is the only major cycle on the wheel without a national deadline -- the finalize date is Network-local.
THE TIME DECODER — CY · PERFORMANCE PERIOD · PAYMENT YEAR  [OPEN / CLOSE]
2025 2026 2027 2028 THE RULE CLOCK HOW A YEAR'S PRICES AND MEASURES GET SET THE CARE CLOCK THE PERFORMANCE PERIOD IS THE CALENDAR YEAR THE CARE HAPPENS THE PAYMENT CLOCK THE QIP LANDS TWO YEARS AFTER THE CARE PROPOSED ~JUN/JUL FINAL ~NOV EFFECTIVE JAN 1 — THE YEAR’S PRICES + MEASURES LOCK PERFORMANCE PERIOD CY2026 — THE MEASURED RECORD SCORED + PUBLISHED ~DEC 2027 PY2028 — UP TO −2% ON EVERY CLAIM THE TWO-YEAR LAG — PAYMENT YEAR = CARE YEAR + 2
THE Kt/V YOU DELIVER IN JANUARY 2026 IS SCORED AGAINST CY2026, PUBLISHED ~DECEMBER 2027, AND PRICES EVERY CLAIM YOU FILE IN CY2028. THREE CLOCKS, ONE NUMBER.
SRC: ESRD QIP PY2028 FACT SHEET · CY2026 FINAL RULE (CMS-1830-F) · VERIFIED WAVE-1 (#15/#30) · LAST VERIFIED 2026-07-10
THE ACCESS · 07|2026
ED. 001 · GENERATED VIEW SRC: THE ESRD ATLAS DATASET
SOURCED DATE ANCHORS · APPROXIMATE DATES MARKED · SOURCES AS OF 2026-07-06 GENERATED FROM THE ATLAS DATASET
AWAITING THE AUTHOR’S PASS