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the program must inform patients on the program’s waiting list and, as directed by the

Secretary, provide assistance to waiting list patients who choose to transfer to the waiting

list of another Medicare-approved transplant program without loss of time accrued on the

waiting list.

Guideline §482.102(c)(3)

Transplant programs that intend to become inactive must notify the patient group that will be

affected by the inactivity. If the determination is made to inactivate a transplant program or a

component of a transplant program, all potential recipients on the waiting list would be unable to

receive an organ offer during the time period of inactivity. As such, transplant programs must

notify all affected patients of the upcoming inactivation. It must also inform the potential

recipients of the expected time period of inactivation, if known, and options for waiting list

patients to transfer to another facility.

Waiting list patients should receive notification of the program’s voluntary inactivation at least

30 days prior to the planned inactivation date. Transplant programs determine the method of

communication with the potential recipients and the program must be able to document the

communication.

If a transplant candidate elects to be transferred to another transplant program, the inactivating

transplant program must facilitate communication and help with the exchange of information.

The transplant program should coordinate with the receiving facility to place the patient on their

waiting list.