No, cosmetic fat removal procedures, such as liposuction performed solely for aesthetic purposes, are generally not covered by Medicaid or Medicare. Medicaid and Medicare typically provide coverage for medical procedures that are deemed medically necessary for the treatment of specific health conditions or complications. 

Cosmetic procedures, which are performed to enhance appearance rather than to address medical issues, are considered elective and are not covered. It's essential to understand that Medicaid and Medicare have specific guidelines for coverage, and individuals should consult with their respective programs to determine what procedures are eligible for coverage.