In order to establish entitlement based on hospitalization for transplant, make sure
the hospital involved is an approved renal transplantation center or renal dialysis
center. Check the “Listing of Renal Providers DOFA Process (SSA),” a publication furnished
by CMS, to verify that the hospital, identified by name and provider number in items
32 and 33, is approved. The listing can be found on the CMS web site at https://www.medicare.gov/dialysisfacilitycompare/. If the hospital is not on the listing, contact your CMS RO to determine status.
If the hospital is not an approved medical facility, do not allow entitlement prior
NOTE: An award granting early entitlement may not be made until there is evidence of actual
transplant surgery, unless the person dies during transplant surgery. Death during
the surgery does not prevent early entitlement based on hospitalization.