Medicaid covers medically necessary transplantation services and the related immunosuppressant drugs and services. NOTE: Corneal transplants do not require authorization and are reimbursed directly by the Medicaid Program.
The transplants listed below are provided by the Medicaid Program through the State of Hawaii Organ and Tissue Transplant (SHOTT) Program. The policies for each of the transplantation services are provided separately as follows:
• Small Bowel with or without Liver
• Myeloablative Allogeneic Bone Marrow
• Autologous Bone Marrow
For more information on the SHOTT Program guidelines, please see: https://medquest.hawaii.gov/content/dam/formsanddocuments/resources/Provider-Resources/provider-manuals/PMChp08.pdf