Medicaid (All Kids/family care) requirements?

Hi everyone,

I have All Kids/Family Care (medicaid), and I was wondering if anyone got approval with them? and what were their requirements?

My surgeon will be Dr. Nagle who will accept Medicaid for the surgery, but before I start the whole process, they want their patients to get all the info from their insurance.

I called All Kids today and didn't get much of an answer.  I'm planning on calling back, but not sure if I'll get any further info on it.  Thanks!

Hey,
I have asked my Surgeon AND my dietitian that exact same question. Both said the same, IPA (All Kids) is straight forward. They look at your health history, BMI, and doctor's referrals and make their decision fairly quick. They said typically 2 - 3 weeks. They do not require the 6 month supervised diet like most other insurance companies. Mainly because they just don't want to pay for all the visits! ;-) 

My dietitian said I shouldn't have much trouble at all getting approved since I have co-morbidities.

And no, when you call them they won't give you much info at all. They can't until they have their review board look at your case.

Good luck to you!

~Heather

 Thank you so much!  That's awesome that they don't require the 6 month supervised diet.  

Good luck with your approval.

I have Illinois Health Connect (Medicaid). I am having my surgery at UIC. Although Medicad does not require the 6 month supervised diet the doctor still wants his patients to see the nutritionist a few time. I will have 3 visits total before they will even submit my paperwork. I was told UIC is in the process of requiring Medicaid patients to do the 6 month supervised diet. I am glad I got in before they started that.

Not all surgeons require that though, atleast with Medicaid. 

Dr. Siegel is not having me do anything other than do the Physical Eval (did that today), do the Psych Eval (do that next week), and then follow-up with him and he's submitting my paperwork to IPA / KidCare. He said unless IPA tosses a hurdle at him (which he doubts) I should expect to have the surgery in July 2009. I just saw him for the first time April 30th. So IPA is much easier to work with than most insurances, it just depends on who your surgeon is!

~Heather