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This document provides instructions for completing and submitting a Letter of Intent (LOI) to participate in the CMS Innovation Center’s Comprehensive ESRD Care Initiative.
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How to fill out Comprehensive ESRD Care Initiative Letter of Intent

01
Gather necessary information about your facility and its ESRD services.
02
Review the guidelines for the Comprehensive ESRD Care Initiative to ensure eligibility.
03
Complete the required sections of the Letter of Intent, including identifying information, type of application, and service areas.
04
Provide detailed information on the care delivery model and how it meets the initiative's objectives.
05
Include supporting documents, such as data on patient population and care management strategies.
06
Review the completed Letter of Intent for accuracy and completeness.
07
Submit the Letter of Intent by the specified deadline.

Who needs Comprehensive ESRD Care Initiative Letter of Intent?

01
Healthcare providers managing ESRD patients.
02
Dialysis facilities looking to improve care coordination.
03
Organizations interested in participating in value-based care models.
04
Physicians and clinics that provide care to patients with end-stage renal disease.
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Through the Wasteful and Inappropriate Service Reduction (WISeR) Model, CMS will partner with companies specializing in enhanced technologies to test ways to provide an improved and expedited prior authorization process relative to Original Medicare's existing processes, helping patients and providers avoid unnecessary
In the Kidney Care Choices (KCC) Model, groups of nephrologists (kidney doctors) and other kidney care providers and practices come together to take responsibility for patients who have late-stage chronic kidney disease, End-Stage Renal Disease (ESRD), or a kidney transplant.
The Comprehensive ESRD Care (CEC) Model was designed to identify, test, and evaluate new ways to improve care for Medicare beneficiaries with End-Stage Renal Disease (ESRD).
The Comprehensive ESRD Care (CEC) Model was designed to identify, test, and evaluate new ways to improve care for Medicare beneficiaries with End-Stage Renal Disease (ESRD).
The Centers for Medicare & Medicaid Services (CMS) administers the End-Stage Renal Disease Quality Incentive Program (ESRD QIP) to promote high-quality services in renal dialysis facilities.
The Comprehensive ESRD Care (CEC) model is an accountable care organization (ACO) model developed under the authority of the Center for Medicare and Medicaid Innovation (Innovation Center) to test innovative payment and service delivery models to reduce program expenditures while preserving or enhancing the quality of

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The Comprehensive ESRD Care Initiative Letter of Intent is a formal document submitted by healthcare entities expressing their intention to participate in the Comprehensive ESRD Care Initiative, which aims to improve care coordination and reduce costs for patients with End-Stage Renal Disease (ESRD).
Healthcare providers, organizations, and facilities that wish to participate in the Comprehensive ESRD Care Initiative are required to file a Letter of Intent.
Filling out the Comprehensive ESRD Care Initiative Letter of Intent involves providing relevant organizational details, contact information, and a summary of the proposed participation in the initiative, which may include care delivery models and collaboration strategies.
The purpose of the Comprehensive ESRD Care Initiative Letter of Intent is to inform the Centers for Medicare & Medicaid Services (CMS) of an organization's commitment to improving ESRD patient care and to facilitate the planning and organization of the initiative.
The information that must be reported on the Comprehensive ESRD Care Initiative Letter of Intent includes the submitting organization's name, type, contact details, descriptions of proposed care strategies, and any partnerships with other organizations involved in the initiative.
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