Number of dialysis patients statewide: 10,820

This state offers Medigap insurance to dialysis patients under 65.

Medicare, a federal program, pays for dialysis for over 80% of dialysis treatments. However, many issues concerning dialysis patients are actually handled at the state level.

Individual states have to provide certain basic services under Medicaid, but they also have flexibility in how they structure their plans and set their reimbursement rates. In addition, some states have the authority to determine the need and location for additional dialysis facilities (this is often referred to as certificate of need). Because dialysis patients’ care can be affected by state officials as well as federal officials, DPC members are becoming more active on state issues—ensuring the patients’ voice is heard locally as well as nationally.

ESRD Network

#1 Network of New England
1952 Whitney Avenue, 2nd Floor
Hamden, CT 06517
1-203-387-9332

State-Run Programs

MassHealth (Office of Medicaid)
1-888-665-9993

  • Adult Programs: provides comprehensive health insurance—or help in paying for private health insurance
  • Programs for Children: The Children’s Medical Security Plan (CMSP) is a basic health insurance program offered by the Executive Office of Health and Human Services for Massachusetts children and teens under the age of 19 years.
  • Medication Programs: Prescription Advantage Prescription drug insurance plan for Mass seniors and disabled individuals of any age who meet certain guidelines.

Health Reform Status:

Exchange: Massachusetts will run its own state-based health insurance exchange.

Medicaid: The state will expand Medicaid eligibility.

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