Intended audience: scc admin

Special Case Committee (SCC) overrides can be made to a liver recipient’s Allocation score.

The SCC administrator changes information on the system to reflect the committee’s decisions.


Overriding the Allocation Score

Transplant programs may submit requests for exception points when a recipient’s Allocation Score does not reflect their disease severity. The SCC has the authority to approve requests for exception points and override the system-calculated Allocation Score. See About Allocation scores.

Liver or liver cluster recipients with a baseline or flat score override will stop accruing wait time and exception points when placed on hold for a non-medical reason (see Medical Hold and Liver Recipients section).

To override the Allocation score:

  1. Go to the recipient’s profile and select Liver > Liver Specific Details on the sidebar.

  2. Scroll down to the Allocation Score Override section.

  3. Select Yes under Override Allocation Score.


  4. Enter information in the override fields:

    1. SCC Approval Date.

    2. Override Type: Baseline override or Flat Score. See About Allocation scores for the distinction.

    3. If Baseline Override is selected, the Effective date to start the three-point accrual every 90 days.

    4. The new Baseline Points or Flat Score as approved by the SCC.

    5. Override Comments.

  5. Select the Save Override button.

    • To cancel, select the return to previous page icon or browse to any other page without saving. Any unsaved information is discarded.

The system:

  • Updates the Allocation Score.

  • For the Baseline override, starts the 90-day schedule for adding points automatically, based on the Effective From Date.

  • Adds a row to the Allocation Score history table showing the Allocation Score override.

  • Suspends the journey if it is on hold for a non-medical reason.

Other users of the system can view the history of Allocation Score changes and see the Allocation score override in the Liver specific details of a journey.

See related topics