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  Home >> Defendants in Custody and Prisoner Management >> Prisoner Health Care >> Prisoner Health Care Standards

  Prisoner Health Care Standards

 

I. Reasonable and Medically Necessary Care

II. Conditions Requiring Treatment

III.  Non-authorized Medical Interventions/ Procedures

A. Allergy/Clinical Immunology

B. Cardiology

C. Dental/Oral Surgery

D. Digestive System

E. Ear, Nose and Throat

F. Endocrinology

G. Genital System (Male)

H. Hearing

I. Hemic and Lymphatic System

J. Integumentary System (Skin, Subcutaneous and Areolar Tissue, Breast) 

K. Nervous System

L. Obstetrics/ Gynecology 

M. Orthopedics/ Rehabilitation

N. Psychology/ Psychiatry

O. Urinary System

P. Vision 

Q. Surgery

R. Prostheses

S. General Medicine/ Laboratory 

T. Radiology 

U. Pharmacy

V. Investigational (Experimental) Drugs, Devices and Procedures

W. Other

IV. Appeals/Denials Process


 
III. NON-AUTHORIZED MEDICAL INTERVENTIONS/PROCEDURES

The following medical interventions and procedures are not authorized for payment by the USMS, unless ordered by the court:

D. DIGESTIVE SYSTEM - NOT COVERED

Anterior gastropexy for hiatal hernia

Excision tonsil tags

Frenoplasty

Gastric bypass for morbid obesity

Gastroplasty for morbid obesity

Hemorrhoidal surgery, except when unresponsive to conservative treatment

Elective revision of colostomy

Vermilionectomy, with mucosal advancement

 

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