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How long is a hysterectomy consent form good for?

The date may be signed on or prior to the members signature date. o Consent is valid for no more than 180 days.

Does MassHealth cover getting tubes tied?

MassHealth covers sterilization only when the procedure complies with 42 CFR 441, subpart F, and all other applicable federal and state regulations and subregulatory guidance.

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.

What is pm330 consent form?

A completed PM 330 Sterilization Consent Form must accompany all claims directly related to the sterilization surgery. This requirement extends to all providers, attending physicians, surgeons, assistant surgeons, anesthesiologists and facilities.