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

The Shelf

APPARATUS · RESOURCES — THE PRIMARY MACHINERY, ONE PLACE

The places this atlas points to: the law as it stands today, the guidance a surveyor carries, the scoreboards, the registries, and the rule cycle where the money changes. This atlas orients; these sources govern. Go to them for the current word.

HOW TO READ · EACH ROW NAMES A SOURCE, WHAT IT IS, AND THE MOMENT YOU’D REACH FOR IT · CHECKED = THE DATE THE LINK WAS LAST CONFIRMED LIVE · NOTHING HERE IS AFFILIATED WITH THE ACCESS
THE LAW
RESOURCEWHAT IT ISWHEN YOU’D REACH FOR ITLINKCHECKED
eCFR — 42 CFR Part 494The Conditions for Coverage, in the always-current official textWhen you need the actual words of the law, as they stand todayeCFR ↗2026-07-10
Federal Register — CMS documentsEvery proposed and final rule, from the source of recordWhen a rule is proposed or final and you want the document, not the coverage of itFederal Register ↗2026-07-10
THE GUIDANCE
RESOURCEWHAT IT ISWHEN YOU’D REACH FOR ITLINKCHECKED
State Operations Manual, Appendix HThe ESRD survey guidance and protocol, in their current home (as of May 2026)Before a survey—this is what the surveyor walks in withCMS PDF ↗2026-07-10
ESRD Interpretive Guidance v1.1 (2008)The V-tag text and the Measures Assessment Tool—still the substantive interpretive corpusWhen you need what a V-tag actually says, tag by tagCMS PDF ↗2026-07-10
CMS QSO memorandaPolicy memos to the state survey agencies—how guidance changes between rule cyclesWhen something shifted and no rule explains itCMS ↗2026-07-10
THE SCOREBOARD
RESOURCEWHAT IT ISWHEN YOU’D REACH FOR ITLINKCHECKED
Care Compare — dialysis facilitiesThe public star ratings and quality scores, facility by facilityWhen you want to see what a patient seesMedicare ↗2026-07-10
QCORSurvey results and certification data, straight from the oversight systemWhen you want survey history, not star ratingsQCOR ↗2026-07-10
Dialysis Facility ReportsUM-KECC’s facility reports—the report a surveyor reads before the visitBefore the surveyor doesDFR ↗2026-07-10
THE DATA
RESOURCEWHAT IT ISWHEN YOU’D REACH FOR ITLINKCHECKED
USRDS Annual Data ReportThe national registry—incidence, prevalence, outcomes, cost, about two years behindWhen you need the epidemiology, not the machineryUSRDS ↗2026-07-10
CDC NHSN — dialysisThe national infection-surveillance component dialysis events report intoWhen infection data is the questionCDC ↗2026-07-10
THE MONEY
RESOURCEWHAT IT ISWHEN YOU’D REACH FOR ITLINKCHECKED
CMS — ESRD PPSThe payment system’s official page—base rate, wage index, TDAPA, the annual ruleEach July and November, when the rule cycle turnsCMS ↗2026-07-10
CMS — ESRD QIPThe pay-for-performance program—measures, scoring, payment yearsWhen a score on the wall needs explainingCMS ↗2026-07-10
MedPACThe commission that reads payment adequacy back to CongressWhen you want the margin picture nobody at the chairside seesMedPAC ↗2026-07-10
THE PRACTICE AND THE MACHINERY
RESOURCEWHAT IT ISWHEN YOU’D REACH FOR ITLINKCHECKED
KDOQI guidelinesThe National Kidney Foundation’s clinical practice guidelines—the targets above the floorWhen “what does good look like” is the question, not “what is required”NKF ↗2026-07-10
ISPD guidelinesThe International Society for Peritoneal Dialysis—the PD practice standardsWhen the modality is PD and the HD playbook doesn’t transferISPD ↗2026-07-10
The ESRD NetworksThe eighteen regional organizations between CMS and every facility—the county seats most staff have never heard ofWhen a grievance, a placement, or a quality initiative needs its regionESRD Networks ↗2026-07-10
OPTNThe transplant network—allocation policy and the waitlist machineryWhen the question crosses from the chair to the organOPTN ↗2026-07-10
THE CHANGELOG · THE REFERENCESRETURN TO THE INDEX