42 CFR § 494.10 - Definitions.

---
identifier: "/us/cfr/t42/s494.10"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 494.10 - Definitions."
title_number: 42
title_name: "Public Health"
section_number: "494.10"
section_name: "Definitions."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "G"
subchapter_name: "STANDARDS AND CERTIFICATION"
part_number: "494"
part_name: "CONDITIONS FOR COVERAGE FOR END-STAGE RENAL DISEASE FACILITIES"
positive_law: false
currency: "2026-04-05"
last_updated: "2026-04-05"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. l302 and l395hh."
regulatory_source: "73 FR 20475, Apr. 15, 2008, unless otherwise noted."
cfr_part: "494"
---


# 494.10 Definitions.

As used in this part—

*Dialysis facility* means an entity that provides outpatient maintenance dialysis services, or home dialysis training and support services, or both. A dialysis facility may be an independent or hospital-based unit (as described in § 413.174(b) and (c) of this chapter) that includes a self-care dialysis unit that furnishes only self-dialysis services.

*Discharge* means the termination of patient care services by a dialysis facility or the patient voluntarily terminating dialysis when he or she no longer wants to be dialyzed by that facility.

*Furnishes directly* means the ESRD facility provides the service through its own staff and employees or through individuals who are under direct contract to furnish these services personally for the facility.

*Home dialysis* means dialysis performed at home by a patient or caregiver who has completed an appropriate course of training as described in § 494.100(a).

*Self-dialysis* means dialysis performed with little or no professional assistance by a patient or caregiver who has completed an appropriate course of training as specified in § 494.100(a).

*Transfer* means a temporary or permanent move of a patient from one dialysis facility to another that requires a transmission of the patient's medical record to the facility receiving the patient.

[73 FR 20475, Apr. 15, 2008, as amended at 89 FR 89212, Nov. 12, 2024]