CMS SOM App. X, Tag X-123

team must demonstrate:

(i) Knowledge of living organ donation, transplantation, medical ethics, and informed

consent; and

(ii) Understanding of the potential impact of family and other external pressures on the

prospective living donor’s decision whether to donate and the ability to discuss these issues

with the donor.

Guideline §482.98(d)(2)

The ILDA must be able to provide evidence of successful training which addressed the topics

listed in the standard.

Interviews with living donors confirm that the ILDA provided information concerning:

• The organ donation process;

• The requirements of the informed consent process;

• The immediate and long-term expectations following donation;

• The immediate and long-term risks of donation;

• The expected outcomes for the recipient;

• The potential financial responsibilities related to donation; and

• Any alternative treatment(s) for the potential transplant recipient, if available.

The living donor medical record should fully chronical the interactions between the advocate or

advocate team and donor candidate including the assessed level of understanding by the donor

candidate during interactions.

The CoPs do not specify requirements for a donor advocate’s background, education, or training

or the donor advocate team’s composition. Instead, it specifies their duties and the skills they

must be able to demonstrate in 482.98(d)(2) (Tag X-123) and 482.98(d)(3) (Tag X-124).