Payor Resource Center

The National Marrow Donor Program^® (NMDP) supports the unique informational needs of payors and health plans. Our Payor Policy Team can connect you to unrelated blood and marrow transplantation educational programs, patient materials, transplant outcomes data, CPT coding help and much more.

Contact Us

• If you have any questions, need additional information, or are interested in having the NMDP Payor Policy Department speak or exhibit at your meeting/event, please contact the Payor Policy Team at payorpolicy@nmdp.org.
• For periodic updates on transplant resources, upcoming seminars, and events from the NMDP Payor Policy Team, sign up for our E-Communications.

Payor specific resources

To help you understand and explain and navigate the transplant process and related costs, we offer these resources:

• Benefit Design for HCT – recommendations to help you design an effective benefits plan
• Advances in Transplantation: CIBMTR Edition – a summary of key transplant research to help guide coverage decisions
• A Payor’s Guide to: Understanding FDA Cord Blood Regulation - to help you determine appropriate coverage for cord blood transplants, this document provides an overview of new FDA cord blood regulation
• Unrelated Donor Search and Procurement Overview (PDF)     
• Search Costs (PDF) 
• Procurement Costs (PDF) 
• Donor HLA typing: Standards, costs and coding (PDF) – this document is a reference on HLA typing standards and costs for adding a typical donor to the Be The Match Registry^®. Public and private organizations can utilize this information in the development of medical policies pertaining to HLA typing for the purposes of joining the national registry.

Transplant Authorization Form

• Transplant authorization form (PDF) - this form can be provided to transplant centers to help you collect relevant patient information to make an HCT coverage determination.

Education programs and events

To help you understand and explain the transplant process and related costs, we offer these educational resources and programs:

• Standardization of Terminology for Episodes of Hematopoietic Stem Cell Patient Transplant Care: Biology of Blood and Marrow Transplantation - NEW! 
• Updates in unrelated transplantation (RN and CCM credit available) - this self learning module provides a comprehensive understanding of unrelated allogeneic hematopoietic stem cell transplant that can be applied in the health plan care management setting. 
• HFMA presentation - These slides define the need for growth in BMT and provide an overview of the NMDP System Capacity Initiative along with specific products and results.

Learn more about blood and marrow transplant

The links below quickly connect you to additional information on key transplant topics in the physician and patient sections of this website.

Transplant, indications, timing and referral 

• When to consider transplant 
• Diseases treatable by transplant 

Outcomes

• Understanding survival outcome data 
• Survival by disease 
• Outcomes at U.S. transplant centers 
• CIBMTR website (Center for International Blood and Marrow Transplant Research) 

Understanding the search and transplant process

• HLA matching for transplant 
• Searching for unrelated donors or cord blood 
• Transplant at a glance 
• Transplant cell sources (marrow, cord blood stem cells) 
• Reduced-intensity transplants 
• Advances in transplant: Helping more patients 

Legislation and HCT

• The Patient Protections and Affordable Care Act Analysis 
• Kaiser Health News: HHS Releases Proposed Rules on Essential Health Benefits 
• NMDP Legislative Relations 
• The Health Care Law & You