This may not be offered in your state because Medicare doesn't cover it. For this reason most patients use family members or friends if they can't do dialysis alone. Fairly recently the FDA approved the NxStage machine for solo dialysis while the patient is awake so patients can be screened for eligibility for solo dialysis.
Some clinics offer staff-assisted dialysis for patients who have insurance that will cover it. This service may be covered by job-based insurance, VA, or long-term care plans. One patient's family member told me that Medicaid covered it in her state.
All home patients must have a dialysis clinic that trains them to do dialysis, provides their home dialysis equipment and supplies, monitors their home treatments and their adaptation to dialysis, and bills Medicare and/or insurance. Medicare won't pay anyone but a dialysis clinic for home dialysis patients' treatments.