Medicaid Approval Process
Medicaid covers Bariatric Surgery. But you MUST qualify.
Below are the Medicaid requirements to qualify for Weight Loss Surgery.
Please read carefully. ALL requirements must be met and completed.
The following are the Medicaid requirements and documentation to qualify for bariatric surgery and schedule an appointment with Dr. del Pino.
Remember Medicaid makes the requirements and rules, we don’t.
You are responsible for completing all these requirements and sending us the documentation.
Once all this documentation is completed, you will ask your primary care practitioner for a referral to see us.
All this documentation will be sent to Medicaid for approval.
Once Medicaid approves your application, your surgery will be scheduled.
All Medicaid patients must follow two weeks of a liquid diet before surgery, no exceptions.
Medicaid requirements checklist
1. You must be at least 21 years old
2. Your BMI must be at least 35
3. You must suffer from one of the following conditions documented by your primary care practitioner:
Obesity associated hypoventilation
Moderate to severe sleep apnea
Congestive heart failure
Obesity induced cardiomyopathy
Hypertension resistant to three different medications
Diabetes mellitus type HbA1c uncontrolled with two medications or insulin
Cardiovascular or peripheral vascular disease
Hyperlipidemia (cholesterol, triglycerides) not controlled by two medications
Chronic skin ulceration with infection
Pulmonary hypertension
Chronic joint disease not responding to medications
Fatty liver
4. You must provide documentation of completion of a medically supervised diet for six months.
5. You must attend a weight loss seminar
6. Complete medical evaluation
7. Complete psychological evaluation
8. Complete dietary evaluation
9. Complete cardiology evaluation
10. Complete pulmonologist evaluation
11. You must undergo an upper endoscopy
Please keep in mind you are responsible for completing these requirements and sending us the documentation.
Do you qualify? If you don’t - you may be a candidate for our special combo price!
We still may be able to use it to cover a portion of your procedure!
