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U.S. Marshals Service

Prisoner Health Care Standards

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:

L. OBSTETRICS/GYNECOLOGY (FEMALE GENITAL SYSTEM)– NOT COVERED

Amniocentesis, unless justified in writing by a physician or mid-level provider because of clinical findings indicating possible complications

Any medical care whatsoever for the infant after delivery, including the first newborn exam and routine screening, as per Federal Statute

Artificial insemination

Construction of artificial vagina

Culture of oocyte

Diaphragm fitting

Dilation of vagina under anesthesia

Elective abortions, except where the life of the mother would be endangered if the fetus were carried to term, or where the pregnancy is the result of rape

Embryo transfer

Excision of vaginal septum

Fimbrioplasty

Gamete or zygote transfer

Home uterine monitoring devices, unless justified in writing by a physician or mid-level provider because of clinical findings indicating possible complications

Hydrotubation of oviduct

Hymenotomy, simple incision

Hysteroplasty to repair uterine anomaly

Infertility workup or treatment, including Assisted Reproductive Technology (ART)

Injection procedure, hysterosalpingography

Insertion of intrauterine device

Intersex surgery, female to male

Intersex surgery, male to female

Ligation or transection of fallopian tubes

Lysis of labial adhesions

Mammography, unless ordered in writing by a physician or mid-level provider because of documented clinical findings indicating suspicion of malignancy and preauthorized by the Office of Interagency Medical Services, or unless the detainee is 40 years of age and has been in the uninterrupted custody of the USMS for greater than 12 months

Non-emergency Hysterectomy

Oocyte retrieval

Plastic repair of introitus

Procedures, services and supplies related to sex transformations

Reversal of surgically induced sterility

Routine physical examinations, including PAP smear, unless ordered in writing by a physician or mid-level provider because of documented clinical findings and preauthorized by the Office of Interagency Medical Services, or unless the detainee has been in the uninterrupted custody of the USMS for greater than 12 months

Subsequent routine sonogram(s) to determine fetal age and/or size, unless justified in writing by a physician or mid-level provider because of clinical findings indicating possible complications. (The initial ultrasound is covered.)

Salpingostomy

Transcervical introduction of fallopian tube catheter

Transection of fallopian tube, minilaparotomy

Transposition of ovary

Tubotubal anastomosis

Tubouterine implantation

Uterine suspension

Voluntary sterilization or other family planning services, including
contraceptive drugs, devices, or surgery

 
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