Medicaid Gastric Sleeve 2018

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Medicaid Gastric Sleeve 2018

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Bariatric Surgery – Iowa Department of Human Services

Page 1 of 4. Bariatric Surgery Criteria. Iowa Medicaid Program: Pre-procedure.
Effective Date: 9/11/2009. Revision Number: 7. Last Review Date: 1/20/2017.
Reviewed By: Medicaid Clinical Advisory. Committee. Next Review Date: 1/2018.
Approved By: Medicaid Medical Director. Approved Date: 2/6/2017. Criteria: All of
the …

Prioritization of Health Services –

The “2018–19 Prioritized List of Health Services” (aka “Prioritized List”) (see.
Appendix C) shows the final line … order to provide the most beneficial, cost-
effective services to Oregon's Medicaid population. ….. Bariatric/metabolic
surgery (limited to Roux-en-Y gastric bypass and sleeve gastrectomy) is included
on Line 325 …

2018 HCPCS Index –

Dec 6, 2017 HCPCS 2018 Index. Questions regarding coding and billing guidance should be
submitted to the insurer in whose jurisdiction a claim would be filed. For private
sector … For Medicaid systems, please contact the Medicaid. Agency in the ….
belt, strap, sleeve, garment, or covering, any type, A4467 extremity …

Bariatric Surgery Coverage Provider Bulletin –

Aug 5, 2015 BARIATRIC SURGERY COVERAGE. The MO HealthNet Division (MHD) is
changing policy on bariatric surgery coverage. Current. Procedural Terminology (
CPT) codes 43644, 43645, 43659, 43770, 43775, 43845, 43846,. 43847 and
43848 are currently covered for bariatric surgery when performed to …

Benchmarks for Measures Included in the Performance … –

Performance Year 2016 Quality and Resource Use Reports and used in the
calculation of the 2018 Value Modifier. There are four types of … Starting with the
2018 Value Modifier, separate benchmarks will be used for eCQM and non-
eCQM PQRS measures. The …… Sleeve Gastrectomy Operation, Performed as a
Primary …

Health Alliance Plan – OPM

Our Prescription Drug Coverage and Medicare. OPM has determined that Health
Alliance Plan's prescription drug coverage is, on average, expected to pay out as
much as the standard Medicare prescription drug coverage will pay for all plan
participants and is considered Creditable Coverage. This means you do not need

5160-1-60 App DD for 2018-01-01 v02 OF.xlsx – Ohio Medicaid

Jan 1, 2000 Maximum payment amounts for the services and items represented by the
following codes are determined in accordance with the indicated section of the
Ohio Administrative Code. Rule 5160-4-12. 90281-90399, 90476-90749, A9500-
A9698, J0001-J9999, Q0090, Q0136-Q0187, Q0515, Q2001-Q2051, …

Bariatric Surgery Richard John Lindquist MD – Washington State …

Apr 22, 2015 Bariatric Surgery. ▫ Adjustable gastric banding (LABG). ▫ Vertical sleeve
gastrectomy (VSB). ▫ Roux-en-y bypass (RYGB). ▫ Biliopancreatic diversion (with
or … Coronary heart disease. − Sleep apnea. 9. Bariatric Surgery. Medicaid. ▫ BMI
35 or greater and age 21-59 yrs, with one of the following conditions:.

HealthChoice Health handbook for PY2017 –

Services covered include, but are not limited to, sleeve, bypass, duodenal switch,
revision and conversions of sleeve, bypass and duodenal switch, and
complications from these procedures performed under the HealthChoice plans. •
Procedures must be obtained from a Metabolic Bariatric Surgery Accreditation
and Quality.