A member asked:

Tonsils and adenoid removal- covered by medicaid?

A doctor has provided 1 answer

Yes: However, the criteria for the procedure must be obtained. Tonsils are removed for sleep disordered breathing, several bouts of recurrent tonsillitis, dysphagia, failure to thrive, speech abnormalities. Sometimes specific insurance companies have specific criteria. There are multiple medicaid companies per state and each one may have different criteria.

Answered 6/17/2017

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