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US · guidance

CMS SOM App. Y, Tag Z011

(Standard) §486.318(b)(3) The OPO data reports, averaged over the 4 years of the

activein force · 2026-07-22 – presentas-observed

recertification cycle, must meet the rules and requirements of the most current OPTN

aggregate donor yield measure.

Interpretive Guidelines §486.318(b)(3)

Prior to going on-site for a survey, refer to the CMS OPO Database report. The

Database report will record the OPO level of compliance for each full calendar year of

the re-certification cycle as well as the aggregate compliance level for the three full

years. Utilize the most recent calculated compliance results (36-month aggregate) to

evaluate compliance with the Standard. During the re-certification survey, inform the

OPO of the report findings (compliance/non-compliance) and include any non-compliance in the exit interview.

History

Rev. 180, Issued: 08-24-18, Effective: 08-24-18, Implementation: 08-24-18

Provenance

Source
cms.gov
Retrieved
2026-07-22
Edition
som-2026-07-22
Content hash
b16a85b7b4dfa915449556c084344fa0b3c9c5109796d35f57d568b99ae0fdf0
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