Technical revisions to the State Operations Manual (SOM) Appendix X for transplant programs.
The SOM is being updated to make technical revisions to the survey protocol in Appendix X. The table of contents is being updated to reflect the order of the survey protocol, reference to multidisciplinary “rounds” is being changed to multidisciplinary “meetings”, and finally Task 6 title of the survey protocol is being changed to Quality “Assessment” and Performance Improvement to be consistent with regulatory references to this requirement. We are also reinserting survey procedures for an alternative survey protocol, as these procedures were inadvertently deleted in the previous SOM posting. This is existing procedure and no revisions have been made to the content that is being reinserted.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: May 01, 2026
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