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Patient Selection Criteria at Kidney Transplant Programs and Waitlist Outcomes

Announced on  | Last Modified on  | Project Number: OEI-01-23-00293
Status
Active
Agency
Centers for Medicare and Medicaid Services

OBJECTIVE

Transplant programs within a hospital that has a Medicare provider agreement must meet the Medicare Conditions of Participation (CoPs) for CMS to grant approval to provide transplant services. The CoPs for transplant programs include a requirement that programs use written patient selection criteria to determine a patient’s suitability for placement on the transplant waiting list. However, CMS does not define patient selection criteria, which raises questions about what they include, how they vary, and why patients fail to meet them. This study will provide information about transplant programs’ patient selection criteria for adult kidney transplants and the reasons that patients are not added to the waitlist following an evaluation for transplant.

TIMELINE

  • June 16, 2025
    Announced
  • Today
    Office of Evaluation and Inspections In-Progress
  • Est FY2027
    Estimated Fiscal Year for Project Completion
Work Plan Type
Office of Evaluation and Inspections
HHS Agencies
Centers for Medicare and Medicaid Services
Issue Areas
Hospitals Managed Care Quality of Care
Target Groups
Other Minorities
Financial Groups
Medicare A Medicare B Medicare C