Tuesday to Tuesday, 2026-10-27 to 2026-11-03 · · run 20261105T0454Z

CMS Revises OPO Conditions

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The Centers for Medicare & Medicaid Services issued a final rule on November 3, 2026, revising the Conditions for Coverage for Organ Procurement Organizations (OPOs), according to the Federal Register.

This final rule clarifies procedural questions and provides additional operational flexibility for OPOs to improve organ procurement, distribution, and transplantation.

The rule revises definitions.

It also revises the designation requirements for OPOs.

The rule clarifies when an OPO’s service area is open for competition.

Additionally, the rule updates the process for appeals.

The Centers for Medicare & Medicaid Services (CMS) is committed to holding all OPOs accountable for their performance.

At any given time, at least 100,000 people are on the waiting list for a lifesaving transplant.

In 2019, President Trump issued Executive Order 13879 directing the Secretary to enhance organ procurement and utilization.

CMS published a previous final rule in 2020 revising outcome measures to drive performance improvement.

Following the 2020 rule, CMS received inquiries from OPOs seeking clarification.

This final rule will cost approximately $16.5 million in the first year.

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