No OPO applications for the open DSA

2812.8 - No OPO applications for the open DSA (Rev. 179, Issued: 07-06- 18, Effective: 07-06-18, Implantation: 07- 06-18) If no OPO applies for an open DSA or if CMS declines to accept all applications, CMS may select a single OPO to take over the entire open DSA or may adjust the service area boundaries of two or more contiguous OPOs to incorporate the open DSA. The RO will make its decision based on the selection criteria at 42 CFR 486.316(d).