Medi-Cal criteria for Kidney transplant approval

[Guest guest]

We have several active listed patients that are pre-dialysis with Medi-Cal. Now we have received a denial on a patient from Medi-Cal stating it is not a covered service if the patient is not on dialysis. This came from the Medical Director......Does anyone know where I can find their protocol or criteria? I have looked at the Medi-Cal website for this, but found nothing on Kidney transplant.

na Casillas Transplant Financial Coordinator Loma University Medical Center Transplantation Institute fax scasillas@...

[Guest guest]

Suzanna,

I have never heard of this before and we have patients actively

listed not on dialysis. Is it Dr. P?

I haven’t seen any protocols but I can certainly reach out

and see what I can find.

Debbie Mast

Database Administrator/Financial Manager

Solid Organ Transplant/VAD Program

Stanford Hospital and Clinics

750 Welch Road, Suite 220

Palo Alto, CA 94304

Heart, Lung, Heart/Lung, Liver, Kidney, Pancreas, Intestinal

Transplant Programs

Trustee, TFCA

Phone: Fax:

www.donateLIFEcalifornia.org/stanfordmed

From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Casillas,

na

Sent: Tuesday, April 19, 2011 5:27 PM

To: TxFinancialCoordinators

Subject: Medi-Cal criteria for Kidney

transplant approval

We have

several active listed patients that are pre-dialysis with Medi-Cal. Now

we have received a denial on a patient from Medi-Cal stating it is not a

covered service if the patient is not on dialysis. This came from the

Medical Director......Does anyone know where I can find their protocol or

criteria? I have looked at the Medi-Cal website for this, but found nothing on

Kidney transplant.

na Casillas

Transplant

Financial Coordinator

Loma

University Medical Center

Transplantation

Institute

fax

scasillas@...

[Guest guest]

Hi Debbie,

Thanks for responding. It was Dr. Gu. I would appreciate it if you found anything if you would let me know.......

na Casillas Transplant Financial Coordinator Loma University Medical Center Transplantation Institute fax scasillas@...

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Mast, DeborahSent: Tuesday, April 19, 2011 18:14To: TxFinancialCoordinators Subject: RE: Medi-Cal criteria for Kidney transplant approval

Suzanna,

I have never heard of this before and we have patients actively listed not on dialysis. Is it Dr. P?

I haven’t seen any protocols but I can certainly reach out and see what I can find.

Debbie Mast

Database Administrator/Financial Manager

Solid Organ Transplant/VAD Program

Stanford Hospital and Clinics

750 Welch Road, Suite 220

Palo Alto, CA 94304

Heart, Lung, Heart/Lung, Liver, Kidney, Pancreas, Intestinal Transplant Programs

Trustee, TFCA

Phone: Fax:

www.donateLIFEcalifornia.org/stanfordmed

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Casillas, naSent: Tuesday, April 19, 2011 5:27 PMTo: TxFinancialCoordinators Subject: Medi-Cal criteria for Kidney transplant approval

We have several active listed patients that are pre-dialysis with Medi-Cal. Now we have received a denial on a patient from Medi-Cal stating it is not a covered service if the patient is not on dialysis. This came from the Medical Director......Does anyone know where I can find their protocol or criteria? I have looked at the Medi-Cal website for this, but found nothing on Kidney transplant.

na Casillas Transplant Financial Coordinator Loma University Medical Center Transplantation Institute fax scasillas@...