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MEDICAL POLICY
No. 91501R1
STERILIZATION FOR MEDICAID MEMBERS
Effective Date: May 5, 2015,
Date Of Origin: January 19, 2005I. Review Dates: 1/05, 12/05, 12/06, 12/07, 12/08, 12/09,
12/10, 12/11, 12/12,
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What is sterilization for medicaid members?
Sterilization for medicaid members is a permanent form of birth control.
Who is required to file sterilization for medicaid members?
Medical providers are required to file sterilization for medicaid members.
How to fill out sterilization for medicaid members?
To fill out sterilization for medicaid members, medical providers must include all necessary information and obtain consent from the member.
What is the purpose of sterilization for medicaid members?
The purpose of sterilization for medicaid members is to provide a permanent form of birth control.
What information must be reported on sterilization for medicaid members?
Information such as the member's consent, medical history, and the procedure details must be reported on sterilization for medicaid members.
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