Who has been approved with Texas Medicaid
I am just wondering how many of you have actually been approved thru Texas Medicaid, not Medicare actualy Medicaid. How long did it take for them to approve you and what extra hoops did you have to jump thru. How far are you in the process now or have you already had your surgery??
HW389 SW367 CW273 GW180
1lb lost is 1 step closer to your goal !!
1lb lost is 1 step closer to your goal !!
I normally would point you to the top of the TMB to the Medicaid/Medicare post that is stuck up there. However I will tell you my experience first.
I will start by saying that there is Traditional Medicaid and Managed Care Programs (sometimes called STAR programs) through Medicaid like Ameriquest, Atena Medicaid, Cook Children's. If you have 'bonuses' with your Medicaid such as unlimited prescriptions or Support group programs then you might be with one of these programs. However is you have the Traditional Medicaid then your basic coverage with prescriptions is 3 covered per month.
As you start to look for doctors that take Medicaid for weight loss surgery in Texas they are going to ask that you be on Traditional Medicaid. It is less hoops for them to jump through in the back office when they try and help you get approved. You can call the number on the back of your Medicaid card/page to change to Traditional Medicaid if you are not on it now and that takes about a month.
So next is there is a set of hoops that you have to get through in order to be accepted for Medicaid. The same steps are set up for Medicare as Medicaid so if your doctor is not 100% aware of which steps are needed for Medicaid then ask them for the Medicare steps. These steps are like 6 months Nutritionist visits, sleep study, cardiac visit and so on.
After you get through the normal steps (even with other insurances you are having to go through these steps often), then the office sends in your 'packet' to the state and you can call the main Medicaid office after the day they send it and ask if they got it and what other items they need. At that time it will not be long before you 'should' get approved.
In my case the doc's office sent the required info to the state on December 28. The next time the Medicaid and doc's offices opened after the new year was January 4th. I called the state Medicaid office and they stated it was approved. I then hung up and called the doc's office and they looked over on their fax machine and the approval was there. They said they would have to call me back with the surgery time and I was called later that day and it was set for the 21st of January.
From the time I talked to the doctor to the time I had surgery was 6.5 months. It worked well for me and I hope it is the same for you as well. Please feel free to PM me with any further questions.
I will start by saying that there is Traditional Medicaid and Managed Care Programs (sometimes called STAR programs) through Medicaid like Ameriquest, Atena Medicaid, Cook Children's. If you have 'bonuses' with your Medicaid such as unlimited prescriptions or Support group programs then you might be with one of these programs. However is you have the Traditional Medicaid then your basic coverage with prescriptions is 3 covered per month.
As you start to look for doctors that take Medicaid for weight loss surgery in Texas they are going to ask that you be on Traditional Medicaid. It is less hoops for them to jump through in the back office when they try and help you get approved. You can call the number on the back of your Medicaid card/page to change to Traditional Medicaid if you are not on it now and that takes about a month.
So next is there is a set of hoops that you have to get through in order to be accepted for Medicaid. The same steps are set up for Medicare as Medicaid so if your doctor is not 100% aware of which steps are needed for Medicaid then ask them for the Medicare steps. These steps are like 6 months Nutritionist visits, sleep study, cardiac visit and so on.
After you get through the normal steps (even with other insurances you are having to go through these steps often), then the office sends in your 'packet' to the state and you can call the main Medicaid office after the day they send it and ask if they got it and what other items they need. At that time it will not be long before you 'should' get approved.
In my case the doc's office sent the required info to the state on December 28. The next time the Medicaid and doc's offices opened after the new year was January 4th. I called the state Medicaid office and they stated it was approved. I then hung up and called the doc's office and they looked over on their fax machine and the approval was there. They said they would have to call me back with the surgery time and I was called later that day and it was set for the 21st of January.
From the time I talked to the doctor to the time I had surgery was 6.5 months. It worked well for me and I hope it is the same for you as well. Please feel free to PM me with any further questions.
1st Ticker is Since Weight Loss Journey Started
2nd Ticker is Since Surgery 1/21/2010
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