Provision of low-protein modified food products

1. The department shall provide low-protein modified food products, if medically necessary as determined by a qualified health care provider, to males under age twenty-two and females under age forty-five who are eligible to receive Medicaid benefits and are diagnosed with phenylketonuria or maple syrup urine disease. 2. An individual requesting low-protein modified food products must be eligible for Medicaid benefits at the time of the request and must be a resident of North Dakota. 3. If an individual meets the requirements of this chapter, the department shall provide to the individual an initial supply of low-protein modified food products. Within thirty days of the initial request for low-protein modified food products, an individual or the parents or legal guardian of a minor must submit the following information to the department before additional orders will be filled: a. The diagnosis of a qualifying condition; the name, address, and telephone number of the physician, metabolic clinic team, or dietitian who has recommended use of the low-protein modified food products, and written consent authorizing the physician, metabolic clinic team, or dietitian who has recommended use of the low-protein modified food products to verify to the department in writing the diagnosis and recommended treatment; or b. Documentation from a physician that confirms the diagnosis of phenylketonuria or maple syrup urine disease and specifies recommended treatment. 4. The department may seek reimbursement from government programs for the cost of medical food and low-protein modified food products that are provided for individuals covered by those programs. The department shall encourage an individual who qualifies for the women, infants, and children nutrition program to enroll for access to medical food through that program.