Organ Transplants: Reimbursement

01. General. Organ transplant, procurement services, and follow-up care by facilities are reimbursed as specified in the provider agreement. Payment for organ procurement and histocompatibility laboratory tests is made to the facility performing the transplant. (7-1-26) 02. Living Donor Costs. Transplant costs for actual or potential living donors are fully covered by Medicaid and include all medically necessary preparatory, operation, and post-operation recovery expenses related to the donation. Payments for a donor’s post-operation expenses are limited to the actual recovery period. (7-1-26) 456. – 459. (RESERVED) SUB AREA: PRIVATE DUTY NURSING (PDN) (Sections 460-469)