Definitions

2810.1 - Definitions (Rev. 111, Issued: 04-11-14, Effective: 04-11-14, Implemetation: 04-11-14) Certification means a CMS determination that an OPO meets the requirements for certification at 42 CFR 486.303. Decertification means a CMS determination that an OPO no longer meets the requirements for certification at 42 CFR 486.303. Designation means CMS assignment of a geographic service area to an OPO. Once an OPO is certified and assigned a geographic service area, organ procurement costs of the OPO are eligible for Medicare and Medicaid payment under Section 1138(b)(1)(F) of the Act. Open area means an OPO service area for which CMS has notified the public that it is accepting applications for designation. Organ Procurement Organization (OPO) means an organization that performs or coordinates the procurement, preservation, and transport of organs and maintains a system for locating prospective beneficiaries for available organs. Re-certification cycle means the 4-year cycle during which an OPO is certified. Transplant Hospital means a hospital that provides organ transplants and other medical and surgical specialty services required for the care of transplant patients. There may be one or more types of organ transplant centers operating within the same transplant hospital. Urgent need occurs when an OPO is non-compliant with one or more conditions for coverage and this has caused, or is likely to cause, serious injury, harm, impairment, or death to a potential or actual donor or an organ recipient.