MN HF2379

Requires health plans to provide coverage for orthotic and prosthetic devices, supplies, and services consistent with federal Medicare guidelines, limited to medically necessary items that restore or maintain activities of daily living and essential job-related activities.

Defines "prosthesis" as external medical devices replacing missing limbs or body parts furnished by accredited providers or credentialed clinicians, including repair and replacement services.

Defines "orthotics" as custom-fabricated medical devices for correcting deformities and supporting neuromuscular or musculoskeletal dysfunction, provided by accredited facilities or certified clinicians, excluding over-the-counter items like soft goods and immobilizers.

Limits coverage restrictions to standard annual or lifetime dollar maximums, deductibles, and coinsurance applying to all covered terms and services; excludes repair or replacement due to patient neglect, misuse, or abuse.

Requires devices and services be provided by accredited providers meeting American Board for Certification in Orthotics Prosthetics and Pedorthics (ABC), Board for Orthotist/Prosthetist Certification (BOC), Joint Commission (JC), or Commission on Accreditation of Rehabilitation Facilities (CARF) standards, with effective date of August 1, 2010.