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Approved! Washington State Apple Health (Molina Medicaid)

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I was approved today to begin Stage 2 of Molina's bariatric program. I am a 5'5", 309 pound 35 year old female. My BMI is 50. I have one co-morbidity of high blood pressure, and a doctor who believes that WLS is medically necessary.

I also have fibromyalgia, but I do not believe they take that into consideration when it comes to medicaid.

My doctor referred me to the required orientation for Dec. 16th, 2015. I was approved today, January 11th, 2016.

I have to complete these requirements by July 4th, 2016

12 dietician visits

12 physical therapy visits

bariatric psych eval ( or my last years records from my counselor)

EKG

I live in Clarkston, WA. My PCP Tamara Bruns (Nurse) got me into the program. I will be having surgery at Rockwood Surgical Group in Spokane, WA.

  • Replies 106
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Featured Replies

congrats, that is awesome. Stay in touch and if you have any questions im more than willing to help.

HI

I have molina apple health. I read this whole log.

I live in seattle.

I want to know step by step who to call where to go.

I see fast track.

forms ,surgeons or offices that require stage 1, 2 and 3.

Do you have their office numbers?

Thank you.

On 5/17/2017 at 1:19 AM, Ideal132 said:

HI

I have molina apple health. I read this whole log.

I live in seattle.

I want to know step by step who to call where to go.

I see fast track.

forms ,surgeons or offices that require stage 1, 2 and 3.

Do you have their office numbers?

Thank you.

http://www.rockwoodclinic.com/services/bariatrics-(weight-loss-surgery-center)

First off you have to get approved with your insurance then they will send you the information on what you need to do next. See your PCP first and let him know what you are wanting to do.

  • 2 months later...

Hi!

I have molina in Washington State. So I just got the email from the weight loss surgery clinic to complete the seminar. I did it online and I'm now waiting:) I was doing research and I see the requirements are 12 of each nutrition, mental health, and physical therapy. I have fibromyalgia and I have already been doing physical therapy for that, plus I go to counseling and have been going to weight watchers. Will I be able to use this to meet my goals or do I have to do it all over again?

Thanks so much :)

Morgan

Hi!
I have molina in Washington State. So I just got the email from the weight loss surgery clinic to complete the seminar. I did it online and I'm now waiting:) I was doing research and I see the requirements are 12 of each nutrition, mental health, and physical therapy. I have fibromyalgia and I have already been doing physical therapy for that, plus I go to counseling and have been going to weight watchers. Will I be able to use this to meet my goals or do I have to do it all over again?
Thanks so much [emoji4]
Morgan

HI Morgan,

Unfortunately the answer is yes, you'll have to do all of the requirements, it needs to be specifically aimed toward surgery once you are approved for stage 2 with Molina. There is really no way around the requirements set by Molinas Bariatric program. Good luck with your journey!

-Melissa in Vancouver, WA :)

Sent from my SM-G935T using BariatricPal mobile app

Wow that is awesome. I havent been to an appt yet. My first appt since getting approved is next tuesday. Do you have any suggestions. I would love to finish everything up in 3 months!
Kim

I am just getting started in this whole process and I have Amerigroup thru apple health. If you don't mind. Could you tell me about your experience? How is your weight loss journey going? I have done a lot of research and decided today that I'm going to do the sleeve. How did you even get your foot in the door with amerigroup? I'm debating if I should change plans because it seems as though it's much easier thru Molina. Any help and or advice is welcome.
  • 2 weeks later...

So i finally got a phone appointment with my case manager at Molina tomorrow! I also am starting my counseling next week. Weirdly my pcp referred me to the Oregon Weight loss surgery center(I live in Vancouver) but I see a lot of people went to Seattle area? Am I supposed to be staying in Washington? Also what is fast track? Thanks everyone :)

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