State Operations Manual (Pub. 100-07), Ch. 3 § 3012.3
Termination of Organ Transplant Programs
3012.3 – Termination of Organ Transplant Programs
(Rev. 190, Issued: 06-14-19, Effective: 06-14-19, Implementation: 06-14-19)
Transplant programs with one or more condition-level deficiencies other than 482.80
and 482.82 are placed on a 90 calendar-day termination track.
However, if the program is found to be out of compliance with CoPs 482.80 or
482.82 and submits a request for reconsideration based on mitigating factors, the
program will be given 210 days to come into compliance with these conditions.
The 90 day termination track is enforced if the program does not come back into
compliance regardless of whether the program is also on a 210 day termination
track.
Please note that the termination of the transplant program’s Medicare approval does
not affect the associated hospital’s provider agreement for participation as a
Medicare-certified hospital. However, condition level findings at the hospital CoPs,
may affect the hospitals provider agreement if corrections are not made timely.
HRSA and, if applicable the ESRD Network for a kidney program, are notified by the
applicable RO of either a voluntary or involuntary termination of Medicare
participation.
“The Heath Resources Administration (HRSA) (and if kidney program add ESRD
Network) will be notified of this termination in order for them to provide assistance as
indicated with potential recipient transfers to another Medicare-approved program.”