OAR 410-124-0040
Emergency Transplants

(1)

An Emergency Transplant is one in which medical appropriateness requires that a covered transplant be performed less than five days after determination of the need for a transplant.

(2)

Emergency transplants are subject to post transplant review of the client’s medical records by the Division of Medical Assistance Programs (Division), or the Fully Capitated Health Plan (FCHP), to determine if the client and the transplant center met the criteria in these rules at the time of the transplant. Related charges, including transportation, physician’s services, and donor charges will be covered if payment is approved. The Division will make payment as described in OAR 410-124-0000 (Transplant Services)(9) for Division-covered transplants. FCHPs will make payment as described in their contract.

(3)

Transplants are not covered by Citizen/Alien-Waived Emergency Medical (CAWEM) clients, even when emergent.

Source: Rule 410-124-0040 — Emergency Transplants, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=410-124-0040.

Last Updated

Jun. 8, 2021

Rule 410-124-0040’s source at or​.us