Coverage of medical services and prescription medications for the treatment of dementia required, and step therapy requirements for medical assistance modified.
Dementia treatment medical services and prescription medications coverage requirement provision and step therapy requirements for medical assistance provision
Prior authorization mental health carve out expansion
Prior authorization mental health carve out expanded.
Step therapy use protocol for insulin drugs prohibition
Use of step therapy protocol prohibited for insulin drugs.
Formulary Committee members with a potential conflict of interest participation in committee communications and discussions authorization provision, public comment process for recommendations to the Formulary Committee development by the commissioner of human services requirement provision, and Minnesota Rare Disease Advisory Council expertise sought by the Formulary Committee requirement provision
Medical assistance coverage of drugs covered by a primary third-party payer required, and coverage of in-network services by medical assistance regardless of network or referral status for a primary third-party payer required.