OAR 410-124-0040: Emergency Transplants

(1) An Emergency Transplant is one in which medical appropriateness requires that a 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 Health Systems Division (Division) or Managed Care Entity (MCE), to determine if the client and the transplant hospital met the criteria in these rules at the time of the transplant. Related charges, including transportation, physician's services, and donor charges shall be covered if payment is approved. The Division shall make payment as described in OAR 410-124 -0006 for covered transplants. MCE shall make payment as described in their contract.