Utah Administrative Code
Topic - Health
Title R414 - Integrated Healthcare
Rule R414-19A - Coverage for Dialysis Services by an End Stage Renal Disease Facility
Section R414-19A-2 - Definition s
Current through Bulletin 2024-06, March 15, 2024
(1) "Composite payment" means each treatment unit of payment that applies to claims for dialysis services. The composite payment rate includes payment for training, services, evaluations, laboratory tests, items, supplies, medications, and equipment necessary to treat ESRD or perform dialysis.
(2) "Dialysis" means the type of care or service furnished to an ESRD patient and includes training, services, evaluations, laboratory tests, items, supplies, medications, and equipment necessary to perform dialysis in a facility, outpatient, or home setting.
(3) "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.
(4) "ESRD facility" means a facility enrolled with Medicaid and Medicare to furnish at least one specific dialysis service. These facilities include: