23 Miss. Code. R. 202-4.3

Current through December 10, 2024

Rule 23-202-4.3 - 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.

23 Miss. Code. R. 202-4.3

Miss. Code Ann. § 43-13-121.

Amended 1/1/2017