Sterilization Forms
Kansas Department of Health and Environment has updated the procedure in which sterilization forms are now being required. This applies to Amerigroup, Sunflower, UHC Community and traditional KanCare Medicaid patients.
Until February 1, 2015, when a patient underwent hysterectomy surgery, only the Hysterectomy Necessity form on file (by the surgeon’s office) was needed. Effective February 2, 2015 all rules have changed.
Basically:
- Any hysterectomy performed on a beneficiary who is not already sterile now requires a Consent for Sterilization form, regardless of the reason for the hysterectomy. This must be signed and dated 30 days prior to surgery.
- Any beneficiary, who at the time of the hysterectomy was already sterile, the provider (surgeon) must submit, as an attachment to their claim, a note indicating the patient was previously sterile and keep on file this certification in the patient records.
For those providing anesthesia for these cases, claims will not be paid until these new guidelines are followed.
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The information included in this publication is provided, among other things, to alert you to legal developments and should not be considered legal advice. Specific questions about how this information affects your particular situation should be addressed to your attorney.
Editor: Philip Blann (pblann@anesthesiabilling.com).
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