<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.30.01.03" title_num="10" subtitle_num="30" chapter_num="01" heading="Categories of Dialysis.">
  <paragraph num="A.">
    <text>The categories of dialysis listed in §§BF of this regulation are recognized on the basis of differing facility requirements.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Acute Dialysis. Acute dialysis is not reimbursable under the Kidney Disease Program and nothing in this subtitle is meant to refer to acute dialysis.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Chronic Dialysis.</text>
    <paragraph num="(1)">
      <text>Chronic dialysis may be provided in the dialysis facilities defined and described in this subtitle.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Chronic dialysis may be preceded by adequate studies to confirm that the kidney failure is irreversible.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Home Dialysis. A period of training in an approved home dialysis training facility is required before a patient can safely undergo dialysis treatments in the home.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Home Training Dialysis.</text>
    <paragraph num="(1)">
      <text>Home training dialysis is usually conducted in a center with simultaneous dialysis and instruction provided to the patient that includes the technique of performing the type of dialysis selected.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The period required for this training differs depending on the individual circumstances, and requires the expertise and equipment necessary for providing adequate home training.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A responsible third party may be included in the training.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Chronic Peritoneal Dialysis.</text>
    <paragraph num="(1)">
      <text>This process can substitute for kidney function that has been permanently lost and represents a permanent treatment unless replaced by either hemodialysis or kidney transplantation.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Long-term care of end-stage kidney disease by chronic peritoneal dialysis may be carried out either in a dialysis facility or in the home.</text>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>Nocturnal Hemodialysis. Nocturnal hemodialysis may be provided in the dialysis facilities defined and described in this subtitle.</text>
  </paragraph>
</regulation>