§ 15-855. Coverage for pediatric autoimmune neuropsychiatric disorders and pediatric acute onse...
West's Annotated Code of MarylandInsuranceEffective: January 1, 2023
Effective: January 1, 2023
MD Code, Insurance, § 15-855
§ 15-855. Coverage for pediatric autoimmune neuropsychiatric disorders and pediatric acute onset neuropsychiatric syndrome
(a) This section applies to:
(b) An entity subject to this section shall provide coverage for medically necessary diagnosis, evaluation, and treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome, including the use of intravenous immunoglobulin therapy.
(c)(1) Subject to paragraph (2) of this subsection, the coverage required under this section may be subject to the annual deductibles, copayments, or coinsurance requirements imposed by an entity subject to this section for similar coverages under the same health insurance policy or contract.
(d)(1) Except as provided for in paragraph (2) of this subsection, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome shall be coded as autoimmune encephalitis for billing and diagnosis purposes.
(2) If the American Medical Association and the Centers for Medicare and Medicaid Services create and assign a specific code for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections or pediatric acute onset neuropsychiatric syndrome for billing and diagnosis purposes, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome may be coded as:
Credits
Added by Acts 2020, c. 560, § 1, eff. Jan. 1, 2021. Amended by Acts 2022, c. 321, § 1, eff. Jan. 1, 2023.
MD Code, Insurance, § 15-855, MD INSURANCE § 15-855
Current with all legislation from the 2023 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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