Does North Carolina medicaid cover gastric bypass surgery?

Yes, North Carolina Medicaid covers gastric bypass surgery for eligible individuals who meet certain medical criteria. The North Carolina Medicaid State Plan includes coverage for bariatric surgery, including gastric bypass, for individuals who are morbidly obese and have a body mass index (BMI) of 40 or higher, or who have a BMI of 35 or higher and at least one comorbid condition such as heart disease, diabetes, or sleep apnea. Coverage is subject to medical necessity criteria, prior authorization, and other program rules and requirements.