Traditional MedicareAdministrativeMedium impact
Medicare Enrollment Guidelines for Medicaid Members with End Stage Renal Disease (ESRD)
Healthfirst·Nephrology, Family Medicine, Internal Medicine·Provider Update
We identified it
Jun 20, 2026
Summary
New Medicare enrollment guidelines have been established for Medicaid members diagnosed with End Stage Renal Disease (ESRD). The policy provides steps to help these dual-eligible members access Medicare coverage, which is critical for proper billing and reimbursement of ESRD-related services.
Action Required
Immediately: Billing team should review the full policy at the provided URL to understand enrollment steps for Medicaid members with ESRD. Update patient eligibility verification processes to identify ESRD patients who may need Medicare enrollment assistance. Front desk staff should be trained to help guide these members through Medicare enrollment to ensure proper coverage and billing.