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A psychological evaluation is also part of Medicaid criteria for coverage. This evaluation is meant to illustrate the patient suitability for surgery and the likelihood that they will succeed at lifelong dietary changes and medical follow up. This evaluation includes measurements of depression and suicide, eating behaviors, substance abuse, stress management skills, thinking skills, social skills, self esteem, relevant personality factors, ability to stick to changes and likelihood to use follow up services and social support. Department of Health and Human Services (HHS). The NCDHH further states that surgery for severe obesity is not covered if the procedure duplicates a previous procedure or surgery that is experimental, investigational or part of a clinical trial. zi xiu tang success ultimate formula Because everything with the words “health care” in it have been intensely politicized since 2009 when Congress started writing what eventually became the Affordable Care Act, every number that comes out has a tendency to be overanalyzed, and people on the left and the right have a tendency to draw grand conclusions from what can be pretty meager, preliminary information.