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Transplant Services

Florida Medicaid’s Covered Services and HCBS Waivers

Transplant Services

Medicaid reimburses for transplant services to replace bone marrow or vital solid organs that are no longer functional with organs or bone marrow from a human donor.

Medicaid reimburses for transplant services performed in an AHCA-designated transplant center: 

  • Bone marrow (cord blood and stem cell transplants as synonymous with bone marrow transplants)
  • Cornea
  • Heart
  • Heart/lung
  • Intestine/multi-visceral
  • Kidney
  • Kidney/pancreas
  • Liver
  • Lung
  • Pancreas

Medicaid reimburses for pre-transplant and post-transplant care, including immunosuppressive medications even if Medicaid did not pay for the transplant procedure.

This service is one of the minimum covered services for all Managed Medical Assistance plans serving Medicaid enrollees.

Eligibility

Florida Medicaid recipients requiring medically necessary transplant services except for recipients age 21 years and older who have elected hospice care.

Resource Information

Information on Medicaid health plans and services is available on the Statewide Medicaid Managed Care webpage.

The Florida Medicaid coverage policies, fee schedules, and Rule are available on the Agency Website.