Under the proposal, a doctor would be able to provide Medicaid circumcision for infants. The parents just have to express a need for “HIV prophylaxis,” or be coached to say that.
So this is what could happen. A baby boy is born, doctor solicits the parents for circumcision for any reason, parents sign consent, hospital coder/biller enters HIV prophylaxis on the chart. Doctor/hospital gets paid by Medicaid.
By citing HIV prophylaxis it basically covers any excuse by parents or doctors to get Medicaid paid circumcisions in violation of the intent of State Medicaid law.
The whole thing is preposterous because babies are not at risk for sexually transmitted HIV.
For those that wish to read the entire public notice