I am on medicaid too and I had to go through the 6 month of supervised dieting in order for them to approve my surgery. However it didn't take the full 6 months to complete because my doctor had previous documentation in my file. So she used that and I only had to actually go through 2 or 3 months worth of the actual supervised dieting vs. 6 months. It all averaged out in the end because all they requested was 6 months of documentation and she had that in my file. So with all the precious documentation you have hopefully your doctor will be able to use some of that like mine did. Best of luck !!! Hang in there ... the start up process always seems to be the longest part because it's a lot of waiting but it's well worth the wait.