§ 24 §2332-F — Coverage for diabetes supplies

All individual and group nonprofit hospital and medical services plan policies, contracts and certificates and all nonprofit health care plan policies, contracts and certificates must provide coverage for the medically appropriate and necessary equipment, limited to insulin, oral hypoglycemic agents, monitors, test strips, syringes and lancets, and the out-patient self-management training and educational services used to treat diabetes, if:
1.
Certification of medical necessity.
The subscriber's treating physician or a physician who specializes in the treatment of diabetes certifies that the equipment and services are necessary; and
2.
Provision of medical services.
The diabetes out-patient self-management training and educational services are provided through ambulatory diabetes education facilities authorized by the State's Diabetes Control Project within the Bureau of Health.

Legislative History

RR 1995, c. 2, §49 (RAL). RR 1995, c. 2, §50 (AFF). PL 1995, c. 592, §1 (NEW). PL 1995, c. 617, §2 (NEW). PL 1995, c. 617, §6 (AFF). PL 2003, c. 517, §A3 (AMD). PL 2003, c. 517, §A13 (AFF).