Utah Administrative Code
Topic - Health
Title R414 - Integrated Healthcare
Rule R414-10A - Transplant Services Standards
Section R414-10A-8 - Solid Organ Transplantation, Non-Covered Services
Current through Bulletin 2024-06, March 15, 2024
(1) Transplants requiring prior authorization performed without prior authorization. (Refer to the Section I: General Information Provider Manual for request for retroactive authorization for emergency transplant services.)
(2) Transplant for patients who did not qualify for Medicaid benefits at the time of transplantation. (Retroactive Medicaid qualification may be an exception.)
(3) Transplants which are experimental or investigational in nature.
(4) Transplant of beta cells or other pancreas cells not part of a pancreatic organ transplantation.
(5) Transplant of cells or tissues into the coronary arteries, myocardium, central nervous system, or spinal cord.
(6) "Bridge-to-transplant" devices for heart transplant:
(7) Transplants to patients with:
(8) All other conditions not specifically listed as covered in the rule.