revision medicaid
Found this on the internet. I hope it helps. I am pretty sure they cover DS because Medicare does.
The Medicaid Program provides reimbursement for gastric bypass surgery that has been determined to be medically necessary under the following cir****tances:
- Recipient body-mass index (BMI) of at least 35; and
- The service/procedure is an integral and necessary part of a course of treatment for an illness; and
- The patient's obesity was created by, or is aggravating or creating, pathological disorders; and
- Regular medical treatment including endocrine, nutritional, psychiatric and counseling services, as appropriate, have been provided to the patient for a period of 12-24 months and regular weighing of patient has indicated insignificant weight loss.
Note: Under certain cir****tances, it may be necessary to forego a medical treatment period when an urgent medical problem justifies surgery. No prior approval is required for this surgery. The detailed medical necessity for surgery must be documented in the patient's medical records.
Surgical treatment should be a treatment of last resort to control obesity.
Questions? Please contact the Bureau of Policy Development and Agency Relations at (518) 473-2160.