TRANSPLANT EVALUATION PHASE. Pre-transplant Medically Necessary Services required to assess and evaluate the Member to determine acceptance to the transplant program. This phase ends upon acceptance or denial into the transplant program. This Phase shall include: • Consultation with transplant physician(s), psychiatrist(s), specialist(s), transplant coordinator(s), social services. • Hematology, blood banking, serology, chemistry, histocompatibility. • X-rays, pulmonary function tests, skin tests, leukopheresis consultation, CT scan, tissue typing, MRI. • Restaging of disease • HLA typing • Inpatient or outpatient, including professional, room and board, nursing, pharmacy and all other ancillary services. • IV or oral medications for mobilization • Bone marrow harvest/stem cell collection • Stem cell cryopreservation and storage • NMDP or cord bank search • NMDP or cord bank testing of donors
Appears in 3 contracts
Samples: Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc), Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc), Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc)
TRANSPLANT EVALUATION PHASE. Pre-transplant Medically Necessary Services required to assess and evaluate the Member to determine acceptance to the transplant program. This phase ends upon acceptance or denial into the transplant program. This Phase shall include: • Consultation with transplant physician(s), psychiatrist(s), specialist(s), transplant coordinator(s), social services. • Hematology, blood banking, serology, chemistry, histocompatibility. histocompatibility • X-rays, pulmonary function tests, skin tests, leukopheresis consultation, CT scan, tissue typing, MRI. • Restaging of disease • HLA typing • Inpatient or outpatient, including professional, room and board, nursing, pharmacy and all other ancillary services. • IV or oral medications for mobilization • Bone marrow harvest/stem cell collection • Stem cell cryopreservation and storage • NMDP or cord bank search • NMDP or cord bank testing of donors
Appears in 2 contracts
Samples: Pacificare Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc), Professional Capitation Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc)