GA · guidance
Ga. Medicaid Part II Policies & Procedures for Hospital Services § 804
Procedures for Obtaining Precertification for Covered Transplants
Refer to Section 903.3 for additional information regarding transplant services. Requests for
approval of coverage of all transplant services, on all precertification’s should be submitted via the
Web Portal.
The request sent to GMCF for review prior to performance of the transplant should include current
medical records. These records should include medical history, pertinent laboratory findings, x-ray
and scan reports, social history, and test results that exclude viremia.
Transplant procedures and related services must be approved prior to the time that services are
rendered, regardless of age. These services cannot be approved retroactively. The members must be
eligible at the time services are provided.
If approval is given for the transplant procedure a twelve-digit precertification number will be
assigned.
Provenance
- Source
- www.mmis.georgia.gov
- Retrieved
- 2026-10-01
- Edition
- pp-hospital-2026-10-01
- Content hash
fac447f2e8ab29ce5a265961986e03df0e3a1b8d4f869e3bd8320887462d8169
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.