Library: Policy

317:30-5-568. Elective sterilizations

Revised 9-1-07

     Payment is made to ambulatory surgical centers for elective sterilizations performed in behalf of eligible individuals if all of the following circumstances are met:

• (1) The patient must be at least 21 years of age at the time the consent form is signed,

• (2) The patient must be mentally competent,

• (3) A properly completed federally mandated consent for sterilization form is attached to the claim, and

• (4) The form is signed and dated at least 30 days, but not more than 180 days prior to surgery.