Blue Distinction Centers are health care facilities and providers recognized for their expertise in delivering specialty care. As of Jan. 1, 2023, the Health Insurance Exchange (HIX) benefit plan requires that transplants must be performed only by hospitals designated as a Blue Distinction Center for Transplants (BDCT).
Due to this being a contract change there will be no exceptions moving forward for new requests. However, if services were approved in 2022 for a non-BDCT facility, the approval will be upheld. In the event a member is not able to receive a transplant at a BDCT, a written request will need to be submitted to the plan for review by the Medical Director.
If you have additional questions or need information on how to qualify, please contact your contracting representative.