Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL) › Chapter II - Specific Policies By Service › Section 144-101-II-7 - FREE-STANDING DIALYSIS SERVICES › Subsection 144-101-II-7.01 - DEFINITIONS

Current through 2024-29, July 17, 2024
Definitions 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.
7.01-7
Home 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.