Travel allowance for organ transplant services
Defines SelectHealth coverage for travel allowances (transportation, lodging, food) associated with preauthorized organ transplant services for Commercial and CHIP plans, with Medicare and Medicaid subject to CMS/State determinations. Specifies covered organ transplants and per-diem/allotment limits and applicability notes.
Revision date listed as 6/27/24; no material clinical policy statement changes indicated.
Coverage Summary
Defines Select Health coverage for a travel allowance (transportation, lodging, and food) associated with preauthorized organ transplant services for Commercial and CHIP plans. Coverage is covered with criteria (Policy # 86) and requires preauthorization and plan enrollment rules. The policy specifies a per-diem allowance of $200 per day with a maximum of 50 days. For Medicare Advantage and Medicaid, coverage follows CMS and State determinations respectively; if no government policy is available, InterQual or Select Health Commercial criteria apply.