(1) The purpose of this rule is to:
- (a) establish minimum standards of coverage for dietary products, including formulas and low protein modified food products, used for the treatment of inborn errors of amino acid or urea cycle metabolism; and
- (b) identify a uniform billing code standard to be used for processing claims for dietary formulas in conjunction with the treatment of specific inborn metabolic errors.
- (2) This rule applies to an insurer offering an accident and health insurance policy that contains major medical benefits.
KEY: insurance law
Date of Last Change: January 10, 2023
Notice of Continuation: August 9, 2024
Authorizing, and Implemented or Interpreted Law: 31A-2-201; 31A-22-614.5; 31A-22-623