US · guidance
CMS SOM App. X, Tag X-014
§482.74(a)(2) Termination of an agreement between the hospital in which the transplant
program is located and an OPO for the recovery and receipt of organs as required by
section 482.100; and
Guideline §482.74(a)(2)
Outside an approved waiver process, a hospital may not terminate its agreement with its
designated OPO. Via a waiver request submitted to CMS, a hospital may request to work with
an OPO in another OPO Donation Service Area. Should the waiver be granted, a hospital may
then terminate the agreement with its designated OPO. See also 42 CFR 486.308. The transplant
program must notify the applicable State Survey Agency (SA) of its hospital’s intention to seek a
waiver of its designated OPO. The hospital must submit the actual request for an OPO waiver to
the Center for Medicare within CMS Central Office in Baltimore. Once the waiver is granted or
denied, the hospital must provide a copy of the decisional document to the SA.
History
Rev. 200, Issued: 02-21-20; Effective: 02-21-20, Implementation: 02-21-20
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
b1188e4e7df536ed3825997cd8a62f222e293d11f81227efff7f2133753e025f
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