Section 123985 Of Article 5. California Children’s Services From California Health And Safety Code >> Division 106. >> Part 2. >> Chapter 3. >> Article 5.
123985
. (a) A bone marrow transplant for the treatment of cancer
shall be reimbursable under this article, when all of the following
conditions are met:
(1) The bone marrow transplant is recommended by the recipient's
attending physician.
(2) The bone marrow transplant is performed in a hospital that is
approved for participation in the California Children's Services
program.
(3) The bone marrow transplant is a reasonable course of treatment
and is approved by the appropriate hospital medical policy
committee.
(4) The bone marrow transplant has been deemed appropriate for the
recipient by the program's medical consultant. The medical
consultant shall not disapprove the bone marrow transplant solely on
the basis that it is classified as experimental or investigational.
(b) The program shall provide reimbursement for both donor and
recipient surgery.
(c) Any county that has a population of not more than 600,000, as
determined by the most recent decennial census conducted by the
United States Bureau of the Census, shall be exempt from complying
with the 25-percent matching requirement provided for under this
article, for any bone marrow transplant reimbursable under this
section.