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Medica Administrative Manual Home > Health Management and Quality Improvement Care Management > Transplant Case Management

Transplant Case Management

All transplant services, except for corneas, require prior authorization. To obtain prior authorization, call Care Management at 1-800-458-5512, provider option 1, option 4.


Case managers work with transplant facilities on behalf of the member, to manage prior authorization requirements for appropriateness of transplant, network status of facility for best member benefit and pre and post transplant services that may be needed by the member, such as home health care, home therapy, social service support.

For all questions regarding transplant services, refer to Medica's Medical Policy Manual. Call the Medica Provider Literature Request Line for printed copies of documents, toll-free at 1-800-458-5512, option 1, then option 8, ext. 2-2355.

Date: 8/7/2020 4:48:03 PM Version: 4.0.30319.42000 Machine Name: PWIVE-CDWEB01