D.C. Municipal Regulations (Last Updated: September 13, 2017) |
Title 22. HEALTH |
SubTilte 22-B. PUBLIC HEALTH AND MEDICINE |
Chapter 22-B41. CERTIFICATE OF NEED REVIEW |
Section 22-B4106. REVIEW OF PROPOSALS: RENAL DIALYSIS
-
4106.1No person shall increase the number of renal dialysis stations in an HCF or health service or move stations from one HCF to another without first obtaining a CON.
4106.2For purposes of this section, a “renal dialysis station” means a station certified for participation in the Federal End Stage Renal Disease (ESRD) Program under Medicare, or an equivalent station.
4106.3Renal dialysis stations shall be categorized into the following types, with each type considered a separate health care service:
(a)Acute dialysis services, including inpatient hemodialysis and inpatient intermittent peritoneal dialysis;
(b)Outpatient staff-assisted, in-facility, chronic maintenance hemodialysis services;
(c)Outpatient self-care, in-facility, chronic maintenance hemodialysis services, including training;
(d)Outpatient self-care, In-facility, Intermittent peritoneal dialysis services, including training;
(e)Training for home intermittent peritoneal dialysis; and
(f)Any other dialysis service approved by the Director.
4106.4An increase in renal dialysis services not involving stations may be subject to CON review under other provisions of Chapters 40 through 45 of this title.