CMS SOM App. X, Tag X-082

The transplant program’s patient and donor management policies must ensure that:

(1) Each transplant patient is under the care of a multidisciplinary patient care team

coordinated by a physician throughout the transplant and discharge phases of

transplantation; and

(2) If a program performs living donor transplants, each living donor is under the care of a

multidisciplinary patient care team coordinated by a physician throughout the donor

evaluation, donation, and discharge phases of donation.

Guideline §482.94(a)

Each transplant program must have a multidisciplinary team of healthcare professionals with

expertise in different fields to determine an individual’s care plan according to the individual’s

clinical and psychosocial needs. A transplant program's multidisciplinary team must involve at

least a licensed medical and a licensed surgical physician (X-115 to X-117), nurse (X-125),

clinical transplant coordinator (X-118 to X-120), registered dietician for all patients and living

donors that require such services (X-094), social worker (X-092 to X-093), pharmacist (X-125),

and ILDA (X-121 to X-124) if applicable.

The physician must direct this multidisciplinary team to be involved and provide the necessary

services, respective to the area of clinical practice. The multidisciplinary team is responsible for

the assessment, consultation, and development of the patient’s care plan. Participation and

involvement by the multidisciplinary team must be evidenced by documentation in the medical

records.

In those instances where it is determined that the transplant recipient or living donor is not

receiving or did not receive the services needed as identified by assessment, consultation and the

multidisciplinary plan of care, the resulting deficiency should be cited at this regulatory citation.