The purpose of this transmittal is to Provide an update to the DC Medicaid coverage policies for organ transplantation for Medicaid Fee-For-Service (FFS) and Managed Care Plan (MCP) enrollees. The Centers for Medicare and Medicaid Services (CMS) recently approved an update to the District of Columbia (DC) Medicaid State Plan. The State Plan Amendment includes the coverage of Pancreas Transplantation and Small Bowel Transplantation.