# Federal Register 2026-22194 — effective 2027-01-01 — Medicare Program; CY 2027 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Acute Kidney Injury (AKI) Dialysis Payment, and ESRD Quality Incentive Program — Centers for Medicare & Medicaid Services

For Federal Register 2026-22194, effective date is 2027-01-01; agency is Centers for Medicare & Medicaid Services; published is 2026-10-30; cfr parts amended is 42 CFR 413; dates, as printed is These regulations are effective on January 1, 2027, recorded from its source on 2026-11-02; source re-checked 2026-11-06.

- **FR document number:** 2026-22194 _(verified: appears in the quote below)_
- **Rule:** Medicare Program; CY 2027 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Acute Kidney Injury (AKI) Dialysis Payment, and ESRD Quality Incentive Program _(verified: appears in the quote below)_
- **Agency:** Centers for Medicare & Medicaid Services _(verified: appears in the quote below)_
- **Effective date:** 2027-01-01 _(verified: appears in the quote below)_
- **DATES, as printed:** These regulations are effective on January 1, 2027. _(verified: appears in the quote below)_
- **CFR parts amended:** 42 CFR 413 _(our reading, not quoted from the source)_
- **Published:** 2026-10-30 _(verified: appears in the quote below)_

## What the source says

> {"document_number":"2026-22194","title":"Medicare Program; CY 2027 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Acute Kidney Injury (AKI) Dialysis Payment, and ESRD Quality Incentive Program","agency_names":["Health and Human Services Department","Centers for Medicare & Medicaid Services"],"effective_on":"2027-01-01","dates":"These regulations are effective on January 1, 2027.","cfr_references":[{"chapter":null,"citation_url":null,"part":"413","title":42}],"publication_date":"2026-10-30","html_url":"https://www.federalregister.gov/documents/2026/10/30/2026-22194/medicare-program-cy-2027-changes-to-the-end-stage-renal-disease-esrd-prospective-payment-system"}

## Source

- https://www.federalregister.gov/api/v1/documents.json?per_page=1000&order=oldest&conditions%5Btype%5D%5B%5D=RULE&conditions%5Beffective_date%5D%5Bgte%5D=2027-01-01&conditions%5Beffective_date%5D%5Blte%5D=2027-12-31&fields%5B%5D=document_number&fields%5B%5D=title&fields%5B%5D=agency_names&fields%5B%5D=effective_on&fields%5B%5D=dates&fields%5B%5D=cfr_references&fields%5B%5D=publication_date&fields%5B%5D=html_url

Last verified: 2026-11-06. Review by: 2026-11-16.
Part of [Federal rules taking effect: every US final rule in the Federal Register, by effective date](https://referencesource.org/federal-rules-taking-effect/).