Hi, I am the same as you just starting out. Although I don't have Medicaid I have Medicare I too have to do a 6 month medically supervised diet. When I went to my PCP she told me to wait until I go to my first appointment. She had other patients that had WLS and my insurance and she didn't have to monitor their diet, the center for the WLS did it. I also heard others saying that they did do the diet with their doctor and when they went for their first appointment they were given a form that the doctor had to fill out each time they went for the diet. Based on all this I am waiting until I go to my first appointment with the WLS center. And I also found for Medicare the 6 month diet was the first month go to the doctor once a week then after that they go once every other week for months 2-6. I'm not sure so I am waiting. Good luck in deciding. And best wishes for you in your journey.