23 Miss. Code. R. 202-4.3 - Non-Covered Services
The Division of Medicaid does not cover the following transplant procedures/services including, but not limited to:
A. Transplant procedures/services not
medically necessary,
B. Transplant
procedures/services still in clinical trials and/or investigational or
experimental in nature,
C.
Transplant procedures/services performed in a facility not approved by the
Division of Medicaid and/or meeting the criteria in Miss. Admin. Code Part 202,
Rule
4.1,
D. Inpatient admissions or outpatient
procedures, if required, for transplant procedures/services that have not been
prior authorized by a UM/QIO, the Division of Medicaid, or designated entity,
or
E. Pancreas transplants.
Notes
Miss. Code Ann. ยง 43-13-121.
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