The HMO Fact Sheets have been developed by the California Dialysis Council to assist dialysis providers in educating Managed Care Organizations in the complicated process of providing care to End Stage Renal Disease patients

The full document is comprised of two individual documents and reference to Amgen’s Reference Guide to Dialysis Medicare Reimbursement (or similar documentation) as detailed below:

1) Dialysis Information Fact Sheet (4 pages). This is the main document to be sent by a dialysis facility to a HMO to explain dialysis.

2) ESRD Laboratory Requirements (2 pages). This is a supplement to document #1, giving specific details of the ESRD Laboratory requirements. It is referred to in document #1 under Laboratories Services, last sentence on page two.

3) A Reference Guide to Dialysis Medicare Reimbursement - Amgen, Inc. This or similar documentation can be used to provide specific details of the complex reimbursement issues involved with dialysis services. It is referred to in document #1 under Dialysis Services Reimbursement, page 3, second paragraph, second sentence and third paragraph last sentence. Section II of the Amgen Reference Guide to Dialysis Reimbursement will provide most of the relevant information required. Amgen has made copies of this guide available to all dialysis providers. If you do not have a copy, contact your Amgen representative.

The HMO Fact Sheet has been produced by the CDC as a member service and is suggested as a guide. Members are free to edit or customize the document as they wish. The HMO Fact Sheet is provided in Adobe Acrobat® "Portable Document File" (PDF) format. A viewer is available from www.adobe.com free of charge.  Click on the GET ACROBAT® READER icon below to download your free copy.