Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 202 - Hospital Services
Chapter 4 - Organ Transplants
Rule 23-202-4.3 - Non-Covered Services
Current through September 24, 2024
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.
Miss. Code Ann. § 43-13-121.
