{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T16:53:18Z","timestamp":1791132798678,"version":"4.1.0"},"reference-count":18,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Body mass index (BMI) has long served as a screening tool for assessing procedural risk and is used as an exclusion criterion for insurance coverage. Variation in state Medicaid policies, specifically pre\u2010transplant BMI requirements, may affect transplant eligibility and limit access to transplantation. No published literature summarizes these policies. We conducted a 50\u2010state review of Medicaid policies to identify pre\u2010transplant BMI requirements across solid organ transplantation (heart, lung, liver, kidney, pancreas, intestine).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Public records requests were submitted to state Medicaid offices for relevant policy documents. Policies were categorized as: (1)\u00a0\n                      <jats:bold>Restrictive<\/jats:bold>\n                      : precludes transplant coverage if a specified weight\/BMI cutoff is not met; (2)\u00a0\n                      <jats:bold>Somewhat restrictive:\u00a0<\/jats:bold>\n                      no explicit BMI requirements but deference to managed care organization (MCO)\/transplant center criteria; or (3)\u00a0\n                      <jats:bold>Unrestrictive:\u00a0<\/jats:bold>\n                      no BMI requirements or publicly available MCO\/transplant center criteria.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three states (HI, IA, and NC) had restrictive policies with pre\u2010transplant weight\/BMI requirements for coverage of heart, lung, and combined heart\u2010lung transplants. None applied to kidney, liver, pancreas, or intestine transplants. Thirty\u2010two states and DC had somewhat restrictive policies;\u00a015 had unrestrictive policies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Most state Medicaid policies do not contain explicit BMI eligibility requirements for transplant coverage. Instead, BMI\u2010based criteria typically originate from MCOs\/transplant centers that establish and enforce their own criteria.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ctr.70686","type":"journal-article","created":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T16:38:11Z","timestamp":1791131891000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["State Medicaid Body Mass Index Requirements for Solid Organ Transplant Coverage: A 50\u2010State Policy Review"],"prefix":"10.1111","volume":"40","author":[{"given":"Samantha B","family":"Klitenic","sequence":"first","affiliation":[{"name":"Department of Surgery NYU Langone Health  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brigitte","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Department of Surgery NYU Langone Health  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriella","family":"Boulton","sequence":"additional","affiliation":[{"name":"Department of Surgery NYU Langone Health  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"McBride","sequence":"additional","affiliation":[{"name":"Department of Surgery NYU Langone Health  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allan B.","family":"Massie","sequence":"additional","affiliation":[{"name":"Department of Surgery NYU Langone Health  New York New York USA"},{"name":"Department of Population Health NYU Grossman School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorry L.","family":"Segev","sequence":"additional","affiliation":[{"name":"Department of Surgery NYU Langone Health  New York New York USA"},{"name":"Department of Population Health NYU Grossman School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Macey L.","family":"Levan","sequence":"additional","affiliation":[{"name":"Department of Surgery NYU Langone Health  New York New York USA"},{"name":"Department of Population Health NYU Grossman School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Babak J","family":"Orandi","sequence":"additional","affiliation":[{"name":"Department of Surgery NYU Langone Health  New York New York USA"},{"name":"Department of Medicine NYU Grossman School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,4]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2025.102071"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.23195"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajt.2025.05.033"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/jaha.121.021346"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.24418"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2021.08.018"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/neuros\/nyab316"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/corr.0000000000002315"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/13558196251405207"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018\u2010025\u201005551\u20103"},{"key":"e_1_2_11_12_1","volume-title":"How 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