View public comment proposal (PDF; 1/2018) 

In December 2016, the Board of Directors approved the OPTN/UNOS Liver and Intestinal Organ Transplantation Committee’s Changes to HCC Criteria for Auto Approval proposal and on December 12th 2017, UNOS implemented these changes. The recently implemented changes include policy that changed the required eligibility criteria for candidates to receive an automatic extension of their currently approved hepatocellular carcinoma (HCC) exception. The policy language, and corresponding programming, removes automatic extensions for a subset of HCC candidates with treated lesions that fall below the eligibility criteria for an initial exception request. These candidates therefore require review board approval to receive an extension of their exception score. The Committee’s intent is to allow these candidates to continue to receive automatic approval of their HCC exception at time of extension, as they had prior to the policy change on December 12th, 2017.

Feedback requested

The Committee is requesting specific feedback on the proposed policy change that provides automatic extension of a HCC exception score for candidates with HCC lesions that fall below T2 lesion criteria at time of their extension.

Members are asked to comment on both the immediate and long term budgetary impact of resources that may be required if this proposal is approved. This information assists the Board in considering the proposal and its impact on the community.