62Q.531 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. History: 2024 c 127 art 57 s 40
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