Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 126 - REGULATIONS GOVERNING THE LICENSING AND FUNCTIONING OF END STAGE RENAL DISEASE UNITS/FACILITIES › Chapter 1 - GENERAL DEFINITIONS

Current through 2024-29, July 17, 2024
As used in this chapter, unless the context otherwise
				  indicates, the following terms have the following meanings:
1. Agreement: means a written document
				executed between an ESRD Facility and another facility in which the other
				facility agrees to assume responsibility for furnishing specified services to
				patients and for obtaining reimbursement for those services.
2. Arrangement: means a written document
				executed between an ESRD Facility and another facility in which the other
				facility agrees to furnish specified services to patients, but the ESRD
				Facility retains responsibility for those services and for obtaining
				reimbursement for them.
3. Deeming:
				means a Medicare certified End Stage Renal Disease Unit/Facility is deemed to
				meet the State licensure requirements, if it meets all Federal certification
				requirements.
4. Department: means
				the Maine Department of Human Services.
5. Dialysis: means a process by which
				dissolved substances are removed from a patient's body by diffusion from one
				fluid compartment to another across a semipermeable membrane. The two (2) types
				of dialysis that are in common use are hemodialysis and peritoneal
				dialysis.
6. End-Stage Renal
				Disease or ESRD: means that stage of renal impairment that appears irreversible
				and permanent and requires a regular course of dialysis or kidney
				transplantation to maintain life.
7. ESRD Facility: includes a renal
				transplantation center, a renal dialysis center or a renal dialysis
				facility.
8. Renal Transplantation
				Center: means a hospital unit that is approved to furnish directly
				transplantation and other medical and surgical specialty services required for
				the care of ESRD transplant patients, including inpatient dialysis furnished
				directly or under arrangement. A renal transplantation center may also be a
				renal dialysis center.
9. Renal
				Dialysis Center: means a hospital unit that is approved to furnish the full
				spectrum of diagnostic, therapeutic and rehabilitative services required for
				the care of ESRD dialysis patients, including inpatient dialysis furnished
				directly or under arrangement. A hospital need not provide renal
				transplantation to qualify as a renal dialysis center.
10. Renal Dialysis Facility: means a unit
				that is approved to furnish dialysis services directly to ESRD patients. "Renal
				Dialysis Facility" includes a self-dialysis unit or a special-purpose renal
				dialysis facility.
11.
				Self-Dialysis Unit: means a unit that is part of an approved renal
				transplantation center, renal dialysis center or renal dialysis facility and
				furnishes self-dialysis services.
12. Special-Purpose Renal Dialysis Facility:
				means a renal dialysis facility that is approved to furnish dialysis at special
				locations on a short-term basis to a group of dialysis patients otherwise
				unable to obtain treatment in the geographical area. The special locations must
				be either special rehabilitative locations, including vacation locations,
				serving ESRD patients temporarily residing at those locations or locations in
				need of ESRD facilities under emergency circumstances