2007 Minnesota Statutes

62A.047 CHILDREN'S HEALTH SUPERVISION SERVICES AND PRENATAL CARE
SERVICES.
A policy of individual or group health and accident insurance regulated under this chapter, or
individual or group subscriber contract regulated under chapter 62C, health maintenance contract
regulated under chapter 62D, or health benefit certificate regulated under chapter 64B, issued,
renewed, or continued to provide coverage to a Minnesota resident, must provide coverage for
child health supervision services and prenatal care services. The policy, contract, or certificate
must specifically exempt reasonable and customary charges for child health supervision services
and prenatal care services from a deductible, co-payment, or other coinsurance or dollar limitation
requirement. This section does not prohibit the use of policy waiting periods or preexisting
condition limitations for these services. Minimum benefits may be limited to one visit payable
to one provider for all of the services provided at each visit cited in this section subject to the
schedule set forth in this section. Nothing in this section applies to a commercial health insurance
policy issued as a companion to a health maintenance organization contract, a policy designed
primarily to provide coverage payable on a per diem, fixed indemnity, or nonexpense incurred
basis, or a policy that provides only accident coverage.
"Child health supervision services" means pediatric preventive services, appropriate
immunizations, developmental assessments, and laboratory services appropriate to the age of a
child from birth to age six, and appropriate immunizations from ages six to 18, as defined by
Standards of Child Health Care issued by the American Academy of Pediatrics. Reimbursement
must be made for at least five child health supervision visits from birth to 12 months, three child
health supervision visits from 12 months to 24 months, once a year from 24 months to 72 months.
"Prenatal care services" means the comprehensive package of medical and psychosocial
support provided throughout the pregnancy, including risk assessment, serial surveillance,
prenatal education, and use of specialized skills and technology, when needed, as defined by
Standards for Obstetric-Gynecologic Services issued by the American College of Obstetricians
and Gynecologists.
History: 1988 c 571 s 1; 1989 c 69 s 1; 1994 c 485 s 26; 1996 c 465 art 5 s 1