Hospitals: Transplant Programs

A transplant program is defined as a component within a transplant hospital that provides transplantation of a particular type of organ to include; heart, lung, liver, kidney, pancreas, or intestine.

All transplant programs must be located in a hospital that has a Medicare provider agreement and must comply with the hospital Conditions of Participation (CoPs) specified in 42 CFR §482.1 through §482.57. Transplant CoPs are identified in 42 CFR §482.68 through §482.104 and federal regulations under the State Operations Manual – Appendix X.

Initial Application

Hospitals that would like to apply for Medicare certification for a transplant program should contact Thomas Rylander or call 608-266-7297.

In order to apply for Medicare certification for a transplant program, a Medicare certified hospital should complete the following:

  • A CMS-855 form submitted through the Medicare Administrative Contractor (MAC), indicating a new transplant program “practice location.” Once the MAC has approved this form, they will send a copy to the Wisconsin state survey agency.
  • A letter from the hospital containing the information listed in QSO-19-11-Transplant, Attachment A: Required Information for all Applications for Medicare Approval of Transplant Programs. This letter should be emailed to Thomas Rylander or mailed to:

Division of Quality Assurance
Bureau of Health Services
PO Box 2969
Madison, WI  53701-2969

  • Submit information to the Organ Procurement Transplant Network (OPTN) in order to comply with 42 CFR §482.80. This includes information on patient data, clinical experience, and outcome requirements. Once this information is submitted, CMS will review it and provide the results of that review to the Wisconsin state survey agency.

Please refer to QSO-19-11-Transplant for more information on the initial survey and certification process as well as recertification of transplant programs.

Program Changes

Ongoing changes (such as changes to a primary surgeon or physician for a given organ, or to the contact person for the transplant program) should be reported in writing to Thomas Rylander.

Wisconsin Transplant Programs

The following is a list (alphabetized by city) of Wisconsin hospitals that are approved to provide services for people seeking organ transplant and organ donors.

Hospital Name and Address Program Type Effective Date

University of Wisconsin Hospitals and Clinics
600 Highland Avenue
Madison, WI 53792

Adult Heart
Adult Kidney
Adult Liver
Adult Lung
Adult Pancreas


Aurora St. Lukes Medical Center
5th Floor Galleria Building
2900 W. Oklahoma Avenue
Milwaukee, WI 53215

Adult Heart
Adult Kidney
Adult Liver
Adult Pancreas


Children's Hospital of Wisconsin
9000 W Wisconsin Avenue
Milwaukee, WI 53226

Pediatric Heart
Pediatric Kidney
Pediatric Liver


Froedtert Memorial Lutheran Hospital
9200 W Wisconsin Avenue
Milwaukee WI, 53226

Adult Heart
Adult Kidney
Adult Liver
Adult Lung
Adult Pancreas



There are several ways to file a complaint concerning a hospital:

  • To file a complaint online complete the Complaint Intake Survey, F-00607.
  • To use the toll-free number to file a complaint dial 800-642-6552.
  • Contact the Division of Quality Assurance (DQA) at 608-266-8481.

Contact Us                

  • For questions related to licensing and certification of transplant programs in Wisconsin, contact Thomas Rylander, 608-266-7297.
  • For questions related to transplant program rules and regulations in Wisconsin, contact Denise Balboa, 920-979-6437.
Last Revised: April 21, 2020