Conditions for coverage of suppliers of ESRD services self-dialysis and home dialysis training--Health Care Financing Administration. Notice of proposed rulemaking.

These proposed regulations will provide for program approval of a facility that furnishes training and support services for self-dialysis and/or home dialysis, either as the only service or in combination with self-dialysis services. The requirements for a training facility are the same as those for facilities furnishing staff-assisted dialysis, with some additional specific training requirements. The intent of this change is to encourage greater use of self-dialysis. Other changes are being made to facilitate program administration, and to respond to comments on the regulations implementing the 1978 amendments, as well as to adapt the requirements to a recently developed treatment technique known as continuous ambulatory peritoneal dialysis (CAPD), to provide for approval of special purpose renal dialysis facilities, and to require open staffs in ESRD facilities.