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Transmittal 18-22: REVISED Process for Organ Transplants

Thursday, July 19, 2018

The purpose of this transmittal is to provide an update to the DC Medicaid policies for organ transplantation for Medicaid Fee-For-Service (FFS) and Managed Care Organization (MCO) enrollees. On July 1, 2018, the procedure for requesting and obtaining a prior authorization will shift to the Medicaid Quality Improvement Organization (QIO), currently Qualis Health.