What company do you work for? Is the company a dialysis facility that offers home dialysis services under Method I or do you work with a Method II supply company? Is the clinic/company on our database?
Unfortunately, Medicare won't pay for a technician to dialyze a patient in the home under Method I (composite rate). Although I've heard that some Method II providers provide this service under the amount Medicare allows, in most cases, Method II providers only offer staff-assisted home dialysis to those with commercial insurance. If patients have commercial insurance, it's a good idea to see what they'll cover for home dialysis, including a helper if needed.
Incidentally, a change on the Beneficiary Selection Form from Method I to Method II can only be made once a year and the change takes effect January 1. Most dialysis clinics do not have contracts with Method II supply companies so patients can only choose Method I if they get home dialysis through one of those dialysis clinics.