MISSISSIPPI Division of Medicaid Nutritional Assessment/Counseling Pharmaceutical Therapy Bariatric Surgery Adults: Not explicitly mentioned. Pharmacy program exclusions include: Non-covered services include: when used for anorexia, weight loss, or weight Gastric surgery including any technique or CPT Codes: None. gain. procedure for the treatment of obesity or weight control, regardless of medical necessity. EPSDT: Primary care providers or other health centers that provide primary care services must offer to conduct periodic and medically necessary interperiodic visits to screen all Medicaid-eligible children and youth up to age twenty-one (21) in accordance with the EPSDT Periodicity Schedule as recommended by the American Academy of Pediatrics, and must provide or refer such beneficiaries to assessment, diagnosis, and treatment services. Treatment guidelines not found. MISSOURI MO HealthNet Division, Department of Social Services Nutritional Assessment/Counseling Pharmaceutical Therapy Bariatric Surgery used to promote weight loss are excluded under MO Adults: Morbid obesity treatment: The treatment of obesity is noncovered unless the HealthNet. Morbid obesity, as defined by the American Medical treatment is an integral and necessary part of a course of Association (AMA) is a Body Mass (BMI) greater treatment for a concurrent or complicating medical than 40. The treatment of obesity is covered by MO condition. HealthNet (MHD) when the treatment is an integral and necessary course of treatment for a concurrent or CPT Codes: 99402, S0315-S0316 complicating medical treatment. The following codes for bariatric surgery, gastric bypass, gastroplasty, and EPSDT: laparoscopy are covered codes by MHD for patients with a BMI of greater than 40 and a co-morbid condition(s).
MISSISSIPPI Division of Medicaid Nutritional Assessment/Counseling Pharmaceutical Therapy Bariatric Surgery Adults: Not explicitly mentioned. CPT Codes: None. EPSDT: Primary care providers or other health centers that provide primary care services must offer to conduct periodic and medically necessary interperiodic visits to screen all Medicaid-eligible children and youth up to age twenty-one (21) in accordance with the EPSDT Periodicity Schedule as recommended by the American Academy of Pediatrics, and must provide or refer such beneficiaries to assessment, diagnosis, and treatment services. Treatment guidelines not found. Pharmacy program exclusions include: when used for anorexia, weight loss, or weight gain. Non-covered services include: Gastric surgery including any technique or procedure for the treatment of obesity or weight control, regardless of medical necessity. MISSOURI MO HealthNet Division, Department of Social Services Nutritional Assessment/Counseling Pharmaceutical Therapy Bariatric Surgery Adults: The treatment of obesity is noncovered unless the treatment is an integral and necessary part of a course of treatment for a concurrent or complicating medical condition. CPT Codes: 99402, S0315-S0316 EPSDT: used to promote weight loss are excluded under MO HealthNet. Morbid obesity treatment: Morbid obesity, as defined by the American Medical Association (AMA) is a Body Mass (BMI) greater than 40. The treatment of obesity is covered by MO HealthNet (MHD) when the treatment is an integral and necessary course of treatment for a concurrent or complicating medical treatment. The following codes for bariatric surgery, gastric bypass, gastroplasty, and laparoscopy are covered codes by MHD for patients with a BMI of greater than 40 and a co-morbid condition(s).