
Alabama Medicaid Sterilization Consent Form


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People also ask
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What is a PM330 consent form?
CONSENT FORM PM 330 State of California -- Health and Human Services Agency NOTICE Department of Health Services YOUR DECISION AT ANY TIME NOT TO BE STERILIZED WILL NOT RESULT IN THE WITHDRAWAL OR WITHHOLDING OF ANY BENEFITS PROVIDED BY PROGRAMS OR PROJECTS RECEIVING FEDERAL FUNDS.
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Does Medicaid cover tubal ligation in Alabama?
Plan First Program Eligible women qualify for most family planning services and supplies, including birth control pills, the Depo-Provera shot, vaginal ring, diaphragm and contraceptive patch, doctor/clinic visits (for family planning only) and tubal ligations.
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Does Alabama Medicaid require prior authorization?
Prior Authorization (approval in advance) is required for many procedures, services or supplies, including transportation. Click here for information on obtaining an Emergency PA for medications. Below are the forms used for Prior Authorization. Prior Review and Authorization Request Note: a completed form is required.
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What are the requirements for getting your tubes tied in Alabama?
- You must be at least 21 years old. - You must wait at least 30 days to have the operation after you sign the consent (permission) form. The only exception to this is when you have a premature birth or emergency abdominal surgery at least 72 hours after you sign the form.
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Is spousal consent required for sterilization?
The consent of the spouse is not required even if it incidentally will result in the sterilization of the patient. Statutes in Georgia, North Carolina, and Virginia requie the written consent of the patient's spouse to voluntary sterilizations.
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What states require spousal consent for a hysterectomy?
In 1974 states like Georgia, North Carolina, and Virginia required spousal consent for procedures, but by the end of the 1970s, the requirement had been challenged by a handful of court cases, and federal courts ruled state spousal consent laws unconstitutional – though the Supreme Court has never issued a judgment on ...
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What consent is required for sterilization?
STATEMENT OF PERSON OBTAINING CONSENT To the best of my knowledge and belief the individual to be sterilized is at least 21 years old and appears mentally competent. He/She knowingly and voluntarily requested to be sterilized and appears to understand the nature and consequences of the procedure.
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What is the consent for sterilization form in SC?
The Consent for Sterilization - SCDHHS form 687, is required for ALL procedures intended to result in sterilization. The Consent for Sterilization - SCDHHS form 687, is NOT required when a Hysterectomy is to be performed and prior sterilization has occurred.
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