Extracorporeal Membrane Oxygenation Therapy (ECMO)

Extracorporeal membrane oxygenation (ECMO) is a form of life support that provides cardiopulmonary assistance outside the body. ECMO may be used to support lung function for severe respiratory failure or heart function for severe cardiac failure.

Coverage decision: Covered with Conditions (Effective August 1, 2016)

Authorization requirements

Is authorization required? How do I get authorization?

Yes

L&I (State fund): Request Utilization Review provided by Qualis

For self-insured: Contact the employer or its third party administrator

 

Regulatory authority and related information

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