Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 202 - Hospital Services
Chapter 4 - Organ Transplants
Rule 23-202-4.6 - Documentation Requirements
Current through September 24, 2024
Providers of transplant services must document and maintain records in accordance with requirements set forth in Miss. Admin. Code Part 200, Rule 1.3 on each beneficiary receiving a transplant and must include the following:
A. Comprehensive history and physical.
B. Treatments rendered that were unable to prevent progressive disability and/or death.
C. Use of tobacco, alcohol, and/or illegal drugs within the last six (6) months.
D. Absence of severe and irreversible organ dysfunction in organ(s) other than the organ(s) being transplanted.
E. Relevant diagnostic studies and results including, but not limited to:
F. Reports, consults or other documentation to substantiate the transplant including documentation of transplant approval by the facility's transplant review team.
G. Copy of informed consent form signed by the beneficiary and/or guardian or legal representative.
42 C.F.R. § 482.90 -104; Miss. Code Ann. §§ 43-13-117; 43-13-118; 43-13-121.