R590-194-2. Purpose and Scope

(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.