Hospitals: Transplant Programs

Transplant programs at hospitals provide people with organ transplants. This includes heart, liver, lungs, kidney, pancreas, or intestine.

Transplant programs are allowed only at hospitals with a Medicare provider agreement. The hospital also must follow:

• 42 CFR Part 482 Conditions of Participation for Hospitals
  • Hospital conditions of participation described in 42 CFR § 482.1 through § 482.57.
  • Transplant conditions of participation described in 42 CFR § 482.68 through § 482.104.
• Federal regulations described in the State Operations Manual Appendix X (PDF).

How to apply

To apply for Medicare certification for a transplant program, contact Thomas Rylander:

• Email thomas.rylander@dhs.wisconsin.gov
• Call 608-266-7297

Note: A hospital already must be Medicare certified.

Then, the hospital should complete the following:

• A CMS-855 form submitted to the Medicare administrative contractor. The form should show a new transplant program "practice location." Once approved, the Medicare administrative contractor will send it to the Wisconsin state survey agency.
• A letter from the hospital containing the information listed in QSO-19-11-Transplant (PDF), Attachment A: Required Information for all Applications for Medicare Approval of Transplant Programs. Submit this letter to Thomas Rylander.
  • Email: thomas.rylander@dhs.wisconsin.gov
  • Mailing address:
    Division of Quality Assurance (DQA)
    Bureau of Health Services
    PO Box 2969
    Madison, WI 53701-2969

• Submit the following information to the Organ Procurement Transplant Network (42 CFR § 482.80):

  • Patient data
  • Clinical experience
  • Outcome requirements

  CMS (Centers for Medicare & Medicaid Services) will review this information. They will send results to the Wisconsin state survey agency.

Refer to QSO-19-11-Transplant (PDF) for more information on:

• Initial survey certification for transplant programs.
• Recertification process for transplant programs.

Reporting program changes

Report changes to a transplant program in writing to thomas.rylander@dhs.wisconsin.gov. Relevant changes include changes to:

• The primary surgeon or physician for a given organ.
• The contact person for the transplant program.

Wisconsin transplant programs

The following is a list of Wisconsin hospitals that provide transplant services. The list is alphabetized by city.

Contact us

Licensing, certification, and program changes

Thomas Rylander, 608-266-7297

Transplant program rules and regulations

Denise Balboa, 920-979-6437