US · guidance
CMS SOM App. X, Tag X-188
§482.104(c) Standard: Participation in network activities
Kidney transplant programs must cooperate with the ESRD Network designated for their
geographic area, in fulfilling the terms of the Network’s current statement of work.
Guideline §482.104(c)
The ESRD Network organizations are uniquely positioned to coordinate with dialysis
professionals, providers, and patients to promote goals for healthcare quality improvement.
There are currently 18 ESRD Network Organizations across the United States and its territories.
CMS directs the ESRD Network Organizations through the development of a contract, which
delineates the goals and quality improvement activities. Kidney transplant programs must
cooperate with the ESRD Network for their region to ensure full participation and support in
achieving the aims and goals set by the statement of work.
For more information on the ESRD Networks, visit https://www.cms.gov/Medicare/End-Stage-
Renal-Disease/ESRDNetworkOrganizations. For more details on the current statement of work,
information can be requested from the designated ESRD Network.
Transmittals Issued for this Chapter
Rev # Issue Date Subject Impl Date CR#
R240SOMA 05/01/2026 Technical revisions to the State Operations
Manual (SOM) Appendix X for transplant
programs.
05/01/2026 N/A
R227SOMA 12/13/2024 Revisions to the State Operations Manual
(SOM) Appendix X, Transplant Program
Interpretive Guidelines and Survey Procedures
and Chapter 9 - Exhibits
12/13/2024 N/A
R200SOMA
02/21/2020 Revisions to the State Operations Manual
(SOM) Appendix A -
Hospitals, Appendix AA – Psychiatric
Hospitals, Appendix B – Home Health Agency,
Appendix D - Portable X-Ray, Appendix G -
Rural Health Clinics/Federally Qualified Health
Centers, Appendix H- End Stage Renal Disease
Facilities (ESRD), Appendix K –
Comprehensive Outpatient Rehabilitation
Facility, Appendix L - Ambulatory Surgical
Centers, Appendix M – Hospice, Appendix U -
Religious Nonmedical Healthcare Institutions,
Appendix W - Critical Access Hospitals
(CAHs), Appendix X-Organ Transplant
Program and Appendix Z - Emergency
Preparedness
02/21/2020 N/A
R189SOMA 05/24/2019 New to State Operations Manual (SOM),
Appendix X, Survey Protocol and Interpretive
Guidelines for Organ Transplant Programs
05/24/2019 N/A
History
Rev. 227; Issued: 12-13-24; Effective: 12-13-24; Implementation: 12-13-24
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
5629e6c973a2001c63b6432379c65b64ce2518bb35a0b8aba9d04d5383dd2de1
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