Facility Network Affiliation Sign Up
Welcome to our Network:
We welcome your facility to
, and look forward to working with you and the rest of your staff. As you may already know, the mission of the Network is to promote optimal dialysis and transplant care for kidney patients in California located throughout Imperial, Inyo, Kern, King, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Luis Obispo, Santa Barbara, Tulare, and Ventura counties. HealthInsight ESRD Network 18 Please see the information below to learn more about the process of joining your facility with our Network.
Pending CMS Certification:
New Facility Application
After you submit your request, the Network will email you a signed Memorandum of Understanding (MOU) Sign the MOU and return to the Network via
Sign up for NHSN Keep the Network updated on certification status
Upon Receiving the CMS Certification Letter:
Submit the following documents to the Network immediately upon receipt of your CMS Certification letter:
The Network will send a welcome email to the listed Facility Administrator that includes:
The Network will also mail the Grievance Poster (English and Spanish versions).
These must be posted in your facility where patients and State Surveyors can easily see them. Sign up for our
ESRD Network Blog Posts. The blog provides information for ESRD facilities including important dates, product recalls, and CROWNWeb information. Contact the Network with any questions. Please also review our
Network website, which has valuable resources for providers and patients.
Support Group: Kidneys Quest Foundation – Santa Clarita (English/Spanish), Santa Clarita Saturday, August 25, 2018 at 2:00 PM - 5:00 PM Support Group: Renal Support Network (RSN), Panera Bread, 300 N. Brand Blvd, Glendale, CA 91203 Sunday, August 26, 2018 at 2:30 PM - 4:00 PM Support Group: Saddleback Church, Lake Forest Monday, August 27, 2018 at 11:00 AM
For information about the availability of auxiliary aids and services, please visit:
Mon. - Fri. 8:00AM - 4:30PM PST
700 N. Brand Blvd., Suite 405, Glendale, CA 91203
Office: 888-268-1539 · Fax: 888-280-8669 · Toll-free: 1-800-637-4767
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Medicare Contract Number: HHSM-500-2016-00018C