CMS SOM App. H, Tag V660

Interpretive Guidance § 494.120:

This Condition outlines the requirements for dialysis facilities that provide care to patients who

need dialysis on a short-term basis because of emergency conditions or because they are staying

at remote vacation camps. These “special purpose renal dialysis facilities” (SPRDFs) require a

special CMS certification. Due to the limited scope of requirements for SPRDFs, this

certification may not exceed 8 months in any 12-month period of time. If rehabilitation efforts

are anticipated to take longer than 8 months due to emergency circumstances and the extent of

damages, considerations should be given on the impact on patient safety and health prior to

issuing any extension to a SPRDF.

If a special purpose renal dialysis facility chooses to be certified as an outpatient dialysis

facility, it must go through the initial enrollment and certification process, which includes

receiving full initial certification survey to determine compliance with all applicable Conditions

for Coverage (CfCs).

This Condition only applies to SPRDFs; it provides information about the availability of this

special certification and defines which of the regulatory requirements included in the other CfCs

Page 255 of 420

are required to be met by each type of SPRDF. Deficiencies would be cited under each of the

applicable Conditions and Standards that are outlined for either the vacation camp or the

emergency circumstance facility. This Condition would be cited in the event a facility that

applied as an SPRDF did not meet the requirements for that designation. Other Conditions and

Standards would also be cited in that situation.