Diet for Life treatment for individuals with inborn errors of metabolism requires access to multiple types of medical foods, formulas, medications and supplements along with careful diet monitoring and modifications by specialists throughout the lifespan. Michigan and national resources are provided here to help understand and access insurance coverage for these products.
Keyword: Insurance
Michigan Insurance Code
This amendment prevents hospital, medical or other policies to require applicants to undergo genetic testing.
Michigan Nonprofit Health Care Cooperation Reform Act
This amendment prevents health corporations from requiring members to undergo genetic testing or disclose results before issuing or continuing insurance.
Michigan Commission on Genetic Privacy Progress Report
This document contains background on genetics and special recommendations involving privacy, ownership, collection and use, discrimination, education, research, informed consent and telemedicine.
Link to resource:
http://www.michigan.gov/documents/GeneticsReport_11649_7.pdf
http://www.michigan.gov/documents/GeneticsReport_11649_7.pdf
Plan First! Family Planning Services
Plan First! provides family planning services to Michigan women who meet certain eligibility requirements.
Center for Medicare and Medicaid Services – Medicare
This website provides general information, billing, coverage, benefits, and more for the Medicare program.
Link to resource:
https://www.cms.gov/
https://www.cms.gov/
Center for Medicare and Medicaid Services
This National center is home to the Medicare and Medicaid programs.
Link to resource:
http://www.cms.gov/
http://www.cms.gov/
Medicaid Provider Manual
The Medicaid Provider Manual contains coverage, billing, and reimbursement policies for Medicaid, Children’s Special Health Care Services (CSHCS), Adult Benefits Waiver, Maternity Outpatient Medical Services (MOMS), and other healthcare programs adminstered by the Department of Health and Human Services.
Children’s Special Health Care Services – Diagnosis Codes
CSHCS covers approximately 2,600 medical diagnoses that require care by a medical or surgical subspecialist and are handicapping in nature. Diagnosis alone does not guarantee medical elgibility for CSHCS. The individual must also meet the evaluation criteria regarding the level of severity, chronicity, and the need for annual medical care and treatment. This document provides the diagnostic codes that CSHCS covers.
Michigan Medicaid
This MDHHS website contains an overview of the Michigan Medicaid program, health plan information, and reports.