4106.1 No 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.

4106.2 For 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.

4106.3 Renal 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.

4106.4 An 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.

SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014).