[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR486.304]



[Page 644]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 486_CONDITIONS FOR COVERAGE OF SPECIALIZED SERVICES FURNISHED BY 

 

Subpart G_Requirements for Certification and Designation and Conditions 

              for Coverage: Organ Procurement Organizations

 

Sec.  486.304  Requirements for designation.



    (a) Designation is a condition for payment. Payment may be made 

under the Medicare and Medicaid programs for organ procurement costs 

attributable to payments made to an OPO by a hospital only if the OPO 

has been designated by CMS as an OPO.

    (b) An OPO must be certified as a qualified OPO by CMS under 42 

U.S.C. 273(b) and Sec.  486.303 to be eligible for designation.

    (c) An OPO must enter into an agreement with CMS in order for the 

organ procurement costs attributable to the OPO to be reimbursed under 

Medicare and Medicaid.