National Transplant Services

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National Transplant Services information

National Transplant Services (NTS) provides members with access to a network of transplant programs located at premier medical centers.


Background

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.


Support from leadership

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.

National Transplant Services manuals

The National Transplant Services (NTS) Manuals serve as an operational guide to Kaiser Permanente policies and procedures. Separate manuals are available for commercial and Medicare members and Self-funded programs.


National Transplant Services – commercial and Medicare manual

The National Transplant Services (NTS) commercial and Medicare manual is created to serve as an operational guide, providing you with an overview of Kaiser Permanente National Transplant Services policies and procedures.


NTS manuals – commercial and Medicare

The National Transplant Services 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


National Transplant Services - Self-funded manual

The National Transplant Service (NTS) Self-funded provider manual is designed to guide you and your staff in understanding the policies and procedures for the Self-Funded Program of Kaiser Permanente Insurance Company and Kaiser Permanente National Transplant Services.


NTS manuals – Self-funded

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

Pharmacy and formulary

Learn about covered drugs and the policies and procedures for our pharmacies in each region:

California – Northern
California – Southern
Colorado
Georgia
Hawaii
Mid-Atlantic States
Northwest