Medicaid Illinois and VSG...Timeline

[VSGtheNP]

I apologize because I posted this in another thread. I'm still learning to which forum to post.

Finally approved!!!! The detailed process of Medicaid (IL) VSG process. Also, thank you, everyone, for your support and encouraging words.

Sidebar: I was notified in November 2018 that my insurance would automatically change, however, immediately thereafter, I had the option of selecting the insurance provider I wanted before January 2018. I switched providers after my 2nd appointment with the nutrition. My insurance requirements changed from a long list of requirement to only needing 6 nutrition visits and a psychology evaluation. NOTHING MORE. Your surgeon may require additional requirements.

November 2017:
* Attended 1 st support group meeting
* Consultation with the surgeon
* Attended the 1st nutrition appointment
* Scheduled remaining appointments: 3 w/nutritionist and 2 w/dietitian


December 2017:
* Attended 2nd nutrition appointment (started My Fitness Pal journal)
* Selected new insurance provider
* Selected new PCP (Internist)

January 2018:
* Attended 3rd nutrition appointment (MFP Binder)
* Attended 2nd support group meeting

February 2018:
* Attended 4th nutrition appointment (MFP Binder)
* Attended 3rd support group meeting
* Meet new PCP and submitted orders:
1. submitted list of medical concerns, medicinal diets, fad diets, and supplemental weight loss efforts
2. provided a copy of past weight loss history and weight loss attempts from 2010 - 2017
3. Scheduled barium swallow
4. Scheduled sleep study
5. Blood draw (CBC, CMP, etc.)
6. Physical Therapy (back, hip, knee)
* Pyshcology evaluation scheduled via Psychiatrist


March 2018:
* Attended 5th dietitian visit (MFP Binder)
1. Blood draw/lab order
2. Started: B12 (methylcobalamin), D3 (5000 IU), Multi Vitamin (Flintstones )
* Attended 4th support group meeting
* Completed sleep study (mild sleep apnea w/APAP machine ordered)
* Completed barium swallow (no GERD)
* Completed PT appointment (5x)


April 24, 2018:
* Attended 6th dietitian appointment (MFP Binder and total weight loss of 13.1 lbs)
* Psychology Evaluation (PASSED and evaluation submitted during the visit)
1. 250 - 300 questionnaire
2. Presented a picture timeline of weight progression
3. Presented medicnon-medicalmedical weight loss attempts
4. Yes, I was asked questions from childhood to present adulthood
5. Approved for APAP machine

May 2018:
May 3, 2018 - completed file submitted to Medicaid (Thursday)
May 4, 2018 - File assigned to insurance nurse representative (Friday)
May 7, 2018 - Decision made
1. VSG approved
2. Inpatient - DENIED (provider need to resubmit for out patient with 48 hour observation)

* APPROVED for VSG - May 21, 2018

June 2018:
* Appointment with/for:
1. Surgeon
2. Anesthesiologist
3. Barium Swallow

There you have it. I hope this is detailed enough for individuals seeking information for IL Medicaid for VSG. If its too detailed, I do apologize. If you have any questions, please ask me. I know how it feels to view tons and tons of videos or search to only find half answeres.

[tonewbeginnings]

Wow, sounds like your jumping through all the hoops. Hopefully you'll get your surgery date scheduled soon. Good luck to you.

[VSGtheNP]

Tonewbeginnings, thank you so very much. I hope the information I provided will help at least one person.