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WACs > Title 246 > Chapter 246-310 > Section 246-310-280











246-310-270    

246-310-282







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WAC 246-310-280









Kidney disease treatment centers—Definitions.









The following definitions apply to WAC 246-310-280, 246-310-282, 246-310-284, 246-310-286, 246-310-287, 246-310-288, and 246-310-289:
(1) "Base year" means the most recent calendar year for which December 31 data is available as of the first day of the application submission period from the Northwest Renal Network's Modality Report or successor report.
(2) "Capital expenditures," as defined by Generally Accepted Accounting Principles (GAAP), are expenditures made to acquire tangible long-lived assets. Long-lived assets represent property and equipment used in a company's operations that have an estimated useful life greater than one year. Acquired long-lived assets are recorded at acquisition cost and include all costs incurred necessary to bring the asset to working order. The definition of a capital expenditure includes the following types of expenditures or acquisitions:
(a) A force account expenditure or acquisition (i.e., an expenditure for a construction project undertaken by a facility as its own contractor).
(b) The costs of any site planning services (architect or other site planning consultant) including but not limited to studies, surveys, designs, plans, working drawings, specifications, and other activities (including applicant staff payroll and employee benefit costs, consulting and other services which, under GAAP or Financial Accounting Standards Board (FASB) may be chargeable as an operating or nonoperating expense).
(c) Capital expenditure or acquisition under an operating or financing lease or comparable arrangement, or through donation, which would have required certificate of need review if the capital expenditure or acquisition had been made by purchase.
(d) Building owner tenant improvements including but not limited to: Asbestos removal, paving, concrete, contractor's general conditions, contractor's overhead and profit, electrical, heating, ventilation and air conditioning systems (HVAC), plumbing, flooring, rough and finish carpentry and millwork and associated labor and materials, and utility fees.
(e) Capital expenditures include donations of equipment or facilities to a facility.
(f) Capital expenditures do not include routine repairs and maintenance costs that do not add to the utility of useful life of the asset.
(3) "Concurrent review" means the process by which applications competing to provide services in the same planning area are reviewed simultaneously by the department. The department compares the applications to one another and these rules.
(4) "End-of-year data" means data contained in the fourth quarter modality report or successor report from the Northwest Renal Network. For these rules, end-of-year and year-end have the same meaning.
(5) "End-of-year in-center patients" means the number of in-center hemodialysis (HD) and self-dialysis training patients receiving in-center kidney dialysis at the end of the calendar year based on end-of-year data.
(6) "Kidney disease treatment center" means any place, institution, building or agency or a distinct part thereof equipped and operated to provide services, including outpatient dialysis, to persons who have end-stage renal disease (ESRD). In no case shall all stations at a given kidney disease treatment center be designated as self-dialysis training stations. For purposes of these rules, kidney disease treatment center and kidney dialysis facility have the same meaning.
(7) "Kidney dialysis facility" means any place, institution, building or agency or a distinct part thereof equipped and operated to provide services, including outpatient dialysis, to persons who have end-stage renal disease (ESRD). In no case shall all stations at a given kidney disease treatment center be designated as self-dialysis training stations. For purposes of these rules, kidney dialysis facility and kidney disease treatment center have the same meaning.
(8) "Planning area" means an individual geographic area designated by the department for which kidney dialysis station need projections are calculated. For purposes of kidney dialysis projects, planning area and service area have the same meaning.
(9) "Planning area boundaries": Each county is a separate planning area, except for the planning subareas identified for King, Snohomish, Pierce, and Spokane counties. If the United States Postal Service (USPS) changes zip codes in the defined planning areas, the department will update areas to reflect the revisions to the zip codes to be included in the certificate of need definitions, analyses and decisions.
(a) King County is divided by zip code into twelve planning areas as follows:

KING ONE KING TWO KING THREE

98028 Kenmore 98101 Business District 98070 Vashon

98103 Green Lake 98102 Eastlake 98106 White Center/West Seattle

98105 Laurelhurst 98104 Business District 98116 Alki/West Seattle

98107 Ballard 98108 Georgetown 98126 West Seattle

98115 View Ridge/Wedgwood 98109 Queen Anne 98136 West Seattle

98117 Crown Hill 98112 Madison/Capitol Hill 98146 West Seattle

98125 Lake City 98118 Columbia City 98168 Riverton

98133 Northgate 98119 Queen Anne  

98155 Shoreline/Lake Forest Park 98121 Denny Regrade  

98177 Richmond Beach 98122 Madrona  

98195 University of Washington 98134 Harbour Island  

  98144 Mt. Baker/Rainier Valley  

  98199 Magnolia  

KING FOUR KING FIVE KING SIX

98148 SeaTac 98003 Federal Way 98011 Bothell

98158 SeaTac 98023 Federal Way 98033 Kirkland

98166 Burien/Normandy Park   98034 Kirkland

98188 Tukwila/SeaTac   98052 Redmond

98198 Des Moines   98053 Redmond

    98072 Woodinville

    98077 Woodinville

KING SEVEN KING EIGHT KING NINE

98004 Bellevue 98014 Carnation 98055 Renton

98005 Bellevue 98019 Duvall 98056 Renton

98006 Bellevue 98024 Fall City 98058 Renton

98007 Bellevue 98045 North Bend 98059 Renton

98008 Bellevue 98065 Snoqualmie 98178 Skyway

98027 Issaquah    

98029 Issaquah    

98039 Medina    

98040 Mercer Island    

98074 Sammamish    

98075 Sammamish    

KING TEN KING ELEVEN KING TWELVE

98030 Kent 98001 Auburn 98022 Enumclaw

98031 Kent 98002 Auburn  

98032 Kent 98010 Black Diamond  

98038 Maple Valley 98047 Pacific  

98042 Kent 98092 Auburn  

98051 Ravensdale    

(b) Pierce County is divided into five planning areas as follows:

PIERCE ONE PIERCE TWO PIERCE THREE

98354 Milton 98304 Ashford 98329 Gig Harbor

98371 Puyallup 98323 Carbonade 98332 Gig Harbor

98372 Puyallup 98328 Eatonville 98333 Fox Island

98373 Puyallup 98330 Elbe 98335 Gig Harbor

98374 Puyallup 98360 Orting 98349 Lakebay

98375 Puyallup 98338 Graham 98351 Longbranch

98390 Sumner 98321 Buckley 98394 Vaughn

98391 Bonney Lake    

PIERCE FOUR PIERCE FIVE

98402 Tacoma 98303 Anderson Island

98403 Tacoma 98327 DuPont

98404 Tacoma 98387 Spanaway

98405 Tacoma 98388 Steilacoom

98406 Tacoma 98430 Tacoma

98407 Ruston 98433 Tacoma

98408 Tacoma 98438 Tacoma

98409 Lakewood 98439 Lakewood

98416 Tacoma 98444 Parkland

98418 Tacoma 98445 Parkland

98421 Tacoma 98446 Parkland

98422 Tacoma 98447 Tacoma

98424 Fife 98467 University Place

98443 Tacoma 98498 Lakewood

98465 Tacoma 98499 Lakewood

98466 Fircrest 98580 Roy

(c) Snohomish County is divided into three planning areas as follows:

SNOHOMISH ONE SNOHOMISH TWO SNOHOMISH THREE

98223 Arlington 98201 Everett 98012 Mill Creek/Bothell

98241 Darrington 98203 Everett 98020 Edmonds/Woodway

98252 Granite Falls 98204 Everett 98021 Bothell

98271 Tulalip Reservation/
Marysville
98205 Everett 98026 Edmonds

98282 Camano Island 98208 Everett 98036 Lynnwood/Brier

98292 Stanwood 98251 Gold Bar 98037 Lynnwood

  98224 Baring 98043 Mountlake Terrace

  98258 Lake Stevens 98087 Lynnwood

  98270 Marysville 98296 Snohomish

  98272 Monroe  

  98275 Mukilteo  

  98288 Skykomish  

  98290 Snohomish  

  98294 Sultan  

(d) Spokane County is divided into two planning areas as follows:

SPOKANE ONE SPOKANE TWO

99001 Airway Heights 99003 Chattaroy

99004 Cheney 99005 Colbert

99011 Fairchild Air Force Base 99006 Deer Park

99012 Fairfield 99009 Elk

99016 Greenacres 99021 Mead

99018 Latah 99025 Newman Lake

99019 Liberty Lake 99026 Nine Mile Falls

99022 Medical Lake 99027 Otis Orchards

99023 Mica 99205 Spokane

99030 Rockford 99207 Spokane

99031 Spangle 99208 Spokane

99036 Valleyford 99217 Spokane

99037 Veradale 99218 Spokane

99201 Spokane 99251 Spokane

99202 Spokane  

99203 Spokane  

99204 Spokane  

99206 Spokane Valley  

99212 Spokane Valley  

99216 Spokane/Spokane Valley  

99223 Spokane  

99224 Spokane  

(10) "Projection year" means the fourth year after the base year. For example, reviews using 2005 year-end data as the base year will use 2009 as the projection year.
(11) "Resident in-center patients" means in-center hemodialysis (HD) and self-dialysis training patients that reside within the planning area. If more than fifty percent of a facility's patients reside outside Washington state, the facility may include these out-of-state patients in the resident count for the planning area.
(12) "Service area" means an individual geographic area designated by the department for which kidney dialysis station need projections are calculated. For purposes of kidney dialysis projects, service area and planning area have the same meaning.
(13) "Training services" means services provided by a kidney dialysis facility to train patients for home dialysis. Types of home dialysis include at least, but are not limited to, the following:
(a) Home peritoneal dialysis (HPD); and
(b) Home hemodialysis (HHD).
[Statutory Authority: RCW 70.38.135. WSR 06-24-050, § 246-310-280, filed 12/1/06, effective 1/1/07. Statutory Authority: Chapter 70.38 RCW. WSR 96-24-052, § 246-310-280, filed 11/27/96, effective 12/28/96. Statutory Authority: RCW 70.38.135 (3)(c). WSR 93-13-015 (Order 367), § 246-310-280, filed 6/7/93, effective 7/8/93. Statutory Authority: RCW 70.38.135 and 70.38.919. WSR 92-02-018 (Order 224), § 246-310-280, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-310-280, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 70.38.919. WSR 90-16-058 (Order 073), § 248-19-701, filed 7/27/90, effective 8/27/90.]