MN HF3889

Health plan companies must provide coverage for amino acid-based elemental formula when medically necessary, effective January 1, 2025.

Coverage is required for eight specified conditions: cystic fibrosis, amino acid/organic acid/fatty acid metabolic and malabsorption disorders, IgE mediated food protein allergies, food protein-induced enterocolitis syndrome, eosinophilic esophagitis, eosinophilic gastroenteritis, eosinophilic colitis, and mast cell activation syndrome.

Medical assistance (Minnesota's Medicaid program) is amended to cover amino acid-based elemental formulas in the same manner as required under the new health plan coverage requirements.

Prior authorization is required for nutritional products treating combined allergies to human milk, cow's milk, and soy formula.

Long-term care facility residents' nutritional product costs remain included in the per diem rate rather than paid separately.