Revisions to the State Operations Manual (SOM), Chapter 2- The Certification Process; SOM Appendix X, Guidance to Surveyors: Organ Transplant Programs; and SOM Chapter 9- Exhibits – Advance Copy

Memorandum Summary
• Updates to the State Operations Manual - The Centers for Medicare & Medicaid Services (CMS) is releasing updates to Chapters 2 and 9, and to Appendix X of the SOM for transplant programs. This guidance provides a consistent approach to the transplant survey process and certification activities and incorporates feedback previously received from stakeholders.

• Survey tools and resources: Following the release of these updates, additional tools and resources, e.g., transplant survey workbook, will be provided to aid the state survey team in navigating the survey process for organ transplant programs.

• Several previously released QSO (previously S&C) memos are now obsolete. Memos: S&C 17-04-Transplant (incorporated into the SOM), S&C 17-13-Transplant (outdated), S&C: 16-24-Hospitals (outdated), and QSO-19-05-Transplant (incorporated into the SOM) are now expired. CMS will note the expiration date on these memos, which are currently on the CMS website. This memo and the associated SOM updates will supersede the expired memos.