62Q.531 AMINO ACID-BASED FORMULA COVERAGE.
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62Q.531 AMINO ACID-BASED FORMULA COVERAGE.
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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.
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Subd. 2. Required coverage.
A health plan company must provide coverage for formula when formula is medically necessary.
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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.