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Molina bariatric surgery program

Overview
Pediatric bariatric surgery was first reviewed by the HTA program in In , the HCA director selected bariatric surgery for re-review based on newly available published evidence which could change the original coverage determination. A re-review of bariatric surgery was conducted in (2) Bariatric surgery must be performed in a hospital with a bariatric surgery program, and the hospital must be: (a) Located in the state of or . Our program is as a Comprehensive Center under the Metabolic and Bariatric Surgery and Quality Improvement Program (MBSAQIP ®) and is designed to support throughout all stages of your weight-loss journey. Through MultiCare you'll have to. Jun 04,  · The patient must complete and show documentation that he or she participated in a medically supervised weight loss program for 6 months and it happened within the last 12 months prior to surgery. The patient must understand they will be required to change their diet and lifestyle after surgery. Jun 06,  · Does anyone know what needs to be done before surgery, if you are self pay? I have Molina insurance right now, but that may change. Does molina require way more stuff to do before surgery? Sent from my SM-GT the App. Our bariatric surgery program sees complication rates much lower than national standards. Ohio State was the first in central Ohio to perform minimally invasive gastric bypass surgery. "The physicians and staff members at Ohio State are so positive; they made me feel like my surgery day was to be the first day of the rest of my life.". Bariatric Surgery Program CARESOURCE, MOLINA, other Medicaid HMO’S (such as UHC Community Plan, Paramount Advantage, Buckeye Health) Insurance Information for Prior Authorization for Bariatric Surgery PLEASE BEGIN WITH YOUR PRIMARY CARE PHYSICIAN ON YOUR REQUIRED WEIGHT MANAGEMENT PROGRAM PRIOR TO EVALUATIONS. 3. Undergo a surgical evaluation by a Molina provider in bariatric surgery and affiliated with a Molina contracted Bariatric Surgery Program approved by Molina. The bariatric surgeon will refer the member to the OE’s pre-surgical bariatric program per COE protocol. [NOTE: pre-surgical evaluation, if surgery is indicated, the recommended procedure is decided by the surgeon . Bariatric surgery is considered medically necessary when it is used as a treatment for medical conditions that were caused by or worsened by the patient’s obesity. These conditions must be so severe that the benefits of eventual weight loss clearly outweigh the risks associated with bariatric surgery. Molina Apple Health (Medicaid) Bariatric Surgery Criteria Pre-Surgical Assessment (Requirements to Proceed to Stage II) Fax this completed form and required documentation to () or Mail to Molina Healthcare, P.O. Box , Bothell WA SECTION 1: GENERAL INFORMATION. PROVIDER INFORMATION.

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Medicaid's Criteria for Weight Loss Surgery

3. Undergo a surgical evaluation by a Molina provider in bariatric surgery and affiliated with a Molina contracted Bariatric Surgery Program approved by Molina. The bariatric surgeon will refer the member to the OE’s pre-surgical bariatric program per COE protocol. [NOTE: pre-surgical evaluation, if surgery is indicated, the recommended procedure is decided by the surgeon . Molina Apple Health (Medicaid) Bariatric Surgery Criteria Pre-Surgical Assessment (Requirements to Proceed to Stage II) Fax this completed form and required documentation to () or Mail to Molina Healthcare, P.O. Box , Bothell WA SECTION 1: GENERAL INFORMATION. PROVIDER INFORMATION. Bariatric Surgery Program CARESOURCE, MOLINA, other Medicaid HMO’S (such as UHC Community Plan, Paramount Advantage, Buckeye Health) Insurance Information for Prior Authorization for Bariatric Surgery PLEASE BEGIN WITH YOUR PRIMARY CARE PHYSICIAN ON YOUR REQUIRED WEIGHT MANAGEMENT PROGRAM PRIOR TO EVALUATIONS.

 

Medicaid Guidelines Coverage Bariatric Surgery

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