S2152 Insurance Policy Changes

Small Bowel/Liver and Multivisceral Transplant

BCBS Mississippi updated their policy for small bowel/liver and multivisceral transplants, establishing clear criteria for medical necessity and requiring prior authorization through case management for all transplant procedures and evaluations. The policy covers transplantation for patients with intestinal failure who have developed evidence of impending end-stage liver failure while on long-term total parenteral nutrition.