The Agency for Health Care Administration announces a change in globally reimbursed organ transplant evaluations, and the addition of global payment for intestinal multivisceral organ transplants.
● Globally reimbursed organ transplant evaluations for heart, liver, lung and pediatric lung will change from a global rate to Fee-for-Service reimbursement.
● The reimbursement change is expected to result in a savings of approximately $750,000 per year.
● Over two thirds of transplant evaluations do not result in transplantation surgery.
● The change will streamline the transplant process and relieve the administrative burden for both facilities and Medicaid.
● Florida legislature appropriated funding in 2009 for intestinal multivisceral transplants, and requested that the Agency set a reasonable global fee.
● Facilities and providers have been notified in writing, and a detailed memo was provided to each of the local Medicaid area offices.
Affected parties may contact Theresa Kumar, Transplant Coordinator, Agency for Health Care Administration, Bureau of Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308, (850)412-4232 or theresa.kumar@ahca.myflorida.com.
