<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.30.01.04" title_num="10" subtitle_num="30" chapter_num="01" heading="Classifications of Facilities.">
  <paragraph num="A.">
    <text>Kidney Transplant Center.</text>
    <paragraph num="(1)">
      <text>A kidney transplant center shall be a physically discrete unit or division within a hospital approved by the Joint Commission on Accreditation of Healthcare Organizations having the staff and facilities capable of evaluating potential candidates for kidney transplantation.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Transplantation Service. The transplantation division may be administratively and physically separate from the dialysis division, but shall work in close cooperation with an associated dialysis program.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Freestanding Dialysis Facility. The freestanding dialysis facility's functions include:</text>
    <paragraph num="(1)">
      <text>A dialysis facility capable of providing chronic staff-assisted dialysis which may be performed in a freestanding dialysis facility or in an end-stage kidney disease certified hospital-based unit;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Referrals provided for operative, X-ray, and laboratory services under arrangement;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Affiliation with a certified dialysis facility for backup purposes; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Affiliation with a certified transplant center.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Home Dialysis Programs. A home dialysis program's functions include a dialysis facility specifically designed and staffed to train patients and patients' helpers to perform dialysis at home.</text>
  </paragraph>
</regulation>