Minn. Stat. § 62Q.531

Current through 2024, c. 127

Section 62Q.531 - [Effective 1/1/2025] AMINO ACID-BASED FORMULA COVERAGE

Subdivision 1.Definition.

(a) For purposes of this section, the following term has the meaning given.

(b) "Formula" means an amino acid-based elemental formula.

Subd. 2.Required coverage.

A health plan company must provide coverage for formula when formula is medically necessary.

Subd. 3.Covered conditions.

Conditions for which formula is medically necessary include but are not limited to:

(1) cystic fibrosis;

(2) amino acid, organic acid, and fatty acid metabolic and malabsorption disorders;

(3) IgE mediated allergies to food proteins;

(4) food protein-induced enterocolitis syndrome;

(5) eosinophilic esophagitis;

(6) eosinophilic gastroenteritis;

(7) eosinophilic colitis; and

(8) mast cell activation syndrome.

Minn. Stat. § 62Q.531

Added by 2024 Minn. Laws, ch. 127,s 57-40, eff. 1/1/2025.