Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-540 - Kidney disease program and kidney center services › KIDNEY CENTER SERVICES › Section 182-540-105 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The following definitions and those found in chapter
					 182-500 WAC , apply to this chapter.
"Affiliate"
means a facility, hospital, unit,
					 business, or person having an agreement with a kidney center to provide
					 specified services to end stage renal disease (ESRD) patients.
"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.
"Composite rate"
means a payment method in
					 which all standard equipment, supplies, and services are calculated into a
					 blended rate. All in-facility dialysis and all home dialysis treatments are
					 billed under the composite rate system.
"Continuous ambulatory peritoneal dialysis
					 (CAPD)"
means a type of dialysis where the patient's peritoneal membrane
					 is used as the dialyzer. The patient dialyzes at home, using special supplies,
					 but without the need for a machine. (See "Peritoneal dialysis.")
"Continuous cycling peritoneal dialysis
					 (CCPD)"
means a type of peritoneal dialysis where the patient dialyzes
					 at home and uses an automated peritoneal cycler for delivering dialysis.
"Dialysate"
means an electrolyte solution used
					 in dialysis containing elements such as potassium and sodium chloride. It
					 surrounds the membrane or fibers and allows the exchange of substances with the
					 patient's blood in the dialyzer.
"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.
"Dialysis session"
means the period beginning
					 when the patient arrives at the facility and ending when the patient departs
					 from the facility. For home dialysis, it means the period beginning when the
					 patient prepares for dialysis and ending when the patient is disconnected from
					 the machine.
"Dialyzer"
means the synthetic porous membrane
					 or fibers contained in a supporting structure, through which blood flows to
					 eliminate harmful substances and replace them with useful ones.
"Durable medical equipment (DME)"
means
					 equipment that:
(1) Can withstand repeated use;
(2) Is primarily and customarily used to serve a medical
					 purpose;
(3) Generally is not useful to a person in the absence of
					 illness or injury; and
(4) Is appropriate for use in the client's place of
					 residence.
"End-stage renal disease (ESRD)"
means the
					 stage of renal impairment that is irreversible and permanent and requires
					 dialysis or kidney transplant to ameliorate uremic symptoms and maintain
					 life.
"Epoetin alpha (EPO)"
means the biologically
					 engineered protein that stimulates the bone marrow to make new red blood cells.
					 It is used in the treatment of anemia.
"Free-standing kidney center"
means a limited
					 care facility not operated by a hospital that is certified by the federal
					 government to provide ESRD services.
"Home dialysis"
means any dialysis performed
					 at home.
"Home dialysis helper"
means a person trained
					 to assist the client in home dialysis.
"In-facility dialysis"
- For the purpose of
					 this chapter only, "in-facility dialysis" means dialysis of any type performed
					 on the premises of a kidney center or other free-standing ESRD facility.
"Intermittent peritoneal dialysis (IPD)"
means
					 a type of peritoneal dialysis in which dialysis solution is infused into the
					 peritoneal cavity and then drained out. IPD is usually done in a kidney center
					 or facility. It can be done at home with a trained home dialysis helper.
"Kidney center"
means a facility as defined
					 and certified by the federal government to:
(1) Provide ESRD services;
(2) Provide the services specified in this chapter;
					 and
(3) Promote and encourage home dialysis for a client when
					 medically indicated.
"Peritoneal dialysis"
means a procedure that
					 introduces dialysate into the abdominal cavity to remove waste products through
					 the peritoneum. Three forms of peritoneal dialysis are continuous ambulatory
					 peritoneal dialysis, continuous cycling peritoneal dialysis, and intermittent
					 peritoneal dialysis.
"Standard ESRD lab tests"
means certain
					 laboratory tests that the Centers for medicare and medicaid include in their
					 composite rate calculations. These tests are identified in the agency kidney
					 center services billing instructions.
11-14-075, recodified as §
												182-540-105, filed 6/30/11,
						effective 7/1/11. Statutory Authority:
						RCW
						74.08.090,
						74.09.510,
						74.09.520,
						74.09.522, and
						42 C.F.R.
						405.2101. 03-21-039, § 388-540-105,
						filed 10/8/03, effective 11/8/03.