National Transplant Services

The National Transplant Services (NTS) provides oversight of transplant services for Kaiser Permanente members. The goal of the NTS is to provide members with access to a network of transplant programs located at premier medical centers where successful outcomes are predictably high. The NTS is dedicated to assuring continued access to premier transplant programs, which meet or exceed the NTS's stringent site selection criteria and are known nationally for their respective transplant programs.

NTS provides case management and quality management/improvement activities for members seeking or having received a solid organ or blood and marrow transplant. The NTS is a unique program within KP – we support every region, handle both individual patient and transplant population clinical issues, carry out traditional health plan functions (referrals, authorizations), work with internal and external providers, ensure our patients have the necessary clinical services, provide ongoing transplant-related patient education, and monitor the quality of the care provided by our transplant centers.

The senior leadership of our organization is a vocal supporter of our organization's Health Disparities Vision/Strategy.

NTS and National Provider Contracting and Strategy are working daily toward the goal of helping to eliminate health care disparities (by encouraging donor awareness, especially in communities of color) and by improving health (by facilitating transplants) in all the communities that we serve.

NTS’s mission is to lead KP in transplant population management by organizing integrated, comprehensive care and identify evidence-based improvement opportunities that elevate quality and the care experience for our members.

NTS will demonstrate that Kaiser Permanente is recognized as having a preeminent transplant model, compared to leading industry benchmarks for outcome and affordability.

The National Transplant Services (NTS) Provider Manual is created to serve as an operational guide, providing you with an overview of Kaiser Permanente National Transplant Services policies and procedures. Updates to the manual will be provided on a periodic basis in accordance with the Agreement and in response to changes in operational systems and regulatory requirements.

Your satisfaction with Kaiser Permanente is vital to this relationship. We appreciate your participation in helping us continue in our mission to provide quality medical care to our Members.

The National Transplant Services Provider Manual may be downloaded by chapters.

Section 1: Introduction
Section 2: Key Contact
Section 3: Benefits and Eligibility
Section 4: Utilization Management
Section 5: Billing and Payment
Section 6: Provider Rights
Section 7: Member Rights
Section 8: Quality
Section 9: Compliance

The National Transplant Services Self-funded Provider Manual is designed to guide you and your staff in understanding policies and procedures for the Self-funded Program of Kaiser Permanente Insurance Company and Kaiser Permanente National Transplant Services.

The National Transplant Services Self-funded Provider Manual may be downloaded by sections:

Section 1: Introduction
Section 2: Key Contact
Section 3: Benefits and Eligibility
Section 4: Utilization Management
Section 5: Billing and Payment
Section 6: Provider Rights and Responsibilities
Section 7: Quality Assurance
Section 8: Compliance
Section 9: Glossary of Terms