Chapter 15 Exceptions During the COVID-19 Pandemic

To: ESRD Providers From: Margaret Mohan In response to the blanket 1135 waivers issued by CMS, we received a request to look at our state regulations around Dialysis Treatment Clinics, Chapter 15, specifically the requirements that dialysis technicians achieve and maintain national credentials. Individuals may experience difficulty attaining and maintaining these credentials during the COVID-19 crisis, but the Department recognizes the need of Dialysis Treatment Centers to continue providing critical services to patients. To allow Dialysis Treatment Centers to maintain operations during this time, and to bring consistency to State and Federal regulations, the following Chapter 15 regulations will be waived for all licensed Dialysis Treatment Centers, with no waiver application necessary. First, 6 CCR 1011-1, Chapter 15, Part 5.5.3(B), which requires credentials to be obtained within 18 months of beginning employment. Second, Part 5.6.2(B), which requires a facility to maintain records regarding the date an employee obtains national credentials. These waivers remove the requirement for employees to obtain or maintain national credentials, and will remain in place as long as necessary during the COVID-19 crisis. However, the requirement that all dialysis technicians operate under the supervision of an appropriately trained physician or registered nurse remains in effect. Margaret Mohan Branch Chief Acute Care and Nursing Facilities