Subsection 144-101-II-7.01 - DEFINITIONSDefinitions for the purposes of this Section are as follows:
7.01-1 Continuous Ambulatory Peritoneal Dialysis (CAPD) is a form of dialysis in which dialysate drains into and out of the peritoneal cavity by gravity several times a day. This process does not require a machine; the process uses gravity to fill and empty the abdomen. A typical prescription for CAPD requires three or four exchanges during the day and one long (usually eight to ten hours) overnight exchange as the patient sleeps. 7.01-2 Continuous Cycling-Assisted Peritoneal Dialysis (CCPD) is a form of dialysis that uses a machine to fill and empty the abdomen three to five times during the night while the person sleeps. In the morning, the CCPD patient performs one exchange with a dwell time that lasts the entire day. Sometimes one additional exchange is done in the mid-afternoon to increase the amount of waste removed and to prevent excessive absorption of fluid. 7.01-3 Dialysis means the process of cleaning the blood and removing excess fluid artificially with special equipment when the kidneys have failed. Kidney dialysis is used to substitute for the function of damaged or absent kidneys. The two types of dialysis that are in common use are hemodialysis and peritoneal dialysis. 7.01-4 End Stage Renal Disease (ESRD) means that stage of kidney impairment that appears irreversible and permanent, cannot be controlled by conservative management alone, and requires a regular course of dialysis or kidney transplantation to maintain life.7.01-5 End Stage Renal Disease Services are outpatient maintenance services provided by a free-standing ESRD facility or hospital-based renal dialysis center.7.01-6 Hemodialysis is treatment for kidney failure in which the blood passes through a dialyzer to remove wastes and water. In this procedure, a patient typically spends approximately six hours, two to three times a week connected to a dialysis machine. This machine filters out unwanted wastes from a continuous flow of blood through a semipermeable membrane that is immersed in a special dialysis solution. 7.01-7Home Dialysis means dialysis performed at home by an ESRD patient or caregiver who has completed an appropriate course of training consistent with federal guidelines contained in 42 CFR 494.100(a).7.01-8 Nocturnal Intermittent Peritoneal Dialysis (NIPD) is similar to CCPD, except that the number of overnight exchanges is greater (six or more), and the patient does not perform an exchange during the day. NIPD is usually reserved for patients with a peritoneum that is able to transport waste products very rapidly, or for patients who still have substantial residual (remaining) kidney function. 7.01-9 Peritoneal Dialysis is a method of dialysis for patients with kidney failure in which fluids are pumped into the abdomen resulting in the removal of wastes from the blood. Peritoneal dialysis can be done in the home as opposed to hemodialysis, which must be done at a hospital or clinic.7.01-10 Renal Dialysis Facility means an entity that is approved and licensed to provide outpatient maintenance dialysis services, or home dialysis training and support services, or both. A dialysis facility may be an independent or hospital-based unit; however, this chapter pertains only to independent, free-standing entities, which include self-care dialysis units that furnish only self-dialysis services. A dialysis facility shall provide outpatient dialysis services that include, at a minimum, hemodialysis, self-assisted dialysis services, self-dialysis services, laboratory services, and self-dialysis support services. C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-7, subsec. 144-101-II-7.01