Obesity services are mentioned but not explicitly detailed; focuses entirely on preventive action Payment for this service may be made only in cases in which the physician determines that obesity is exogenous in nature, the recipient has had the benefit of other therapy with no success, endocrine disorders have been ruled out, and the body mass index (BMI) is 40 or higher, or 35 to 39.9 with serious medical complications. INDIANA Office of Medicaid Policy and Planning Nutritional Assessment/Counseling Pharmaceutical Therapy Bariatric Surgery, Adults: Not explicitly mentioned. Excluded drugs include: Prior authorization required. Anorectics or any agent used to promote weight 96150-96155, 99401, 99403-99404, loss Bariatric surgery is recognized as medically necessary CPT Codes: 99411-99412, 97802-97804, 99078, S0315- S0316, when used for the treatment of morbid obesity. As of S9445-S9446, S9449, S9451-S9452, S9470, June 1st 2014, Sleeve gastrectomy will be covered. All of bariatric surgery are subject to the following conditions. EPSDT: Obesity services outside of mandated EPSDT services Scope and duration of failed weight loss therapy must are not explicitly mentioned. meet the following criteria. Morbid obesity has persisted for at five years duration, and b. Physician-supervised
Obesity services are mentioned but not explicitly detailed; focuses entirely on preventive action Payment for this service may be made only in cases in which the physician determines that obesity is exogenous in nature, the recipient has had the benefit of other therapy with no success, endocrine disorders have been ruled out, and the body mass index (BMI) is 40 or higher, or 35 to 39.9 with serious medical complications. INDIANA Office of Medicaid Policy and Planning Nutritional Assessment/Counseling Pharmaceutical Therapy Bariatric Surgery, Adults: Not explicitly mentioned. CPT Codes: 96150-96155, 99401, 99403-99404, 99411-99412, 97802-97804, 99078, S0315- S0316, S9445-S9446, S9449, S9451-S9452, S9470, EPSDT: Obesity services outside of mandated EPSDT services are not explicitly mentioned. Excluded drugs include: Anorectics or any agent used to promote weight loss Prior authorization required. Bariatric surgery is recognized as medically necessary when used for the treatment of morbid obesity. As of June 1st 2014, Sleeve gastrectomy will be covered. All of bariatric surgery are subject to the following conditions. Scope and duration of failed weight loss therapy must meet the following criteria. Morbid obesity has persisted for at five years duration, and b. Physician-supervised