Access to care cases include those involving involuntary discharge, involuntary transfer, and failure to place.
Involuntary Discharge (IVD)
An involuntary discharge is a discharge initiated by the treating dialysis facility without the patient’s agreement.
- Preventing the Involuntary Discharge of Dialysis Patients Facility Guide and Checklist
- CMS Conditions for Coverage: ESRD Program Interpretive Guidance
Involuntary Transfer (IVT)
An involuntary transfer occurs when the transferring facility temporarily or permanently closes due to a merger, or due to an emergency or disaster situation, or due to other circumstances, and the patient is dissatisfied with the transfer to another facility.
Failure to Place (F2P)
A failure to place is defined as a situation in which no outpatient dialysis facility can be located that will accept an ESRD patient for routine dialysis treatment.