State Operations Manual (Pub. 100-07), Ch. 2 § 2064
Notification to CMS
2064 – Notification to CMS
(Rev. 227; Issued: 12-13-24; Effective: 12-13-24; Implementation: 12-13-24)
Under §482.74, approved transplant programs must immediately notify CMS of any
significant changes related to the hospital’s transplant program that could affect its
compliance with the Conditions of Participation. These changes include, but are not
limited to:
• changes in the primary transplant surgeon, as designated to the OPTN;
• changes in the primary transplant physician, as designated to the OPTN; and
• inactivation of the transplant program.
Beginning January 1, 2019, the applicable SA has received these notifications on CMS's
behalf. Due to the nature of the information being reported and its relationship to survey
activities, the SA must maintain these notifications for reference at the time of re-approval
surveys. If the surveyor determines that the transplant program failed to notify the SA of
these key changes, a deficiency should be cited at §482.74.