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Coverage by State

Alabama

Mandated Private Insurance Coverage No
Insurance Coverage of Forumla and Limits No
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage Yes
Medicaid Coverage Individual consideration-case-by-case
Other State Programs Children's Rehab Services
334-281-8780
State Medicaid Contact Information 800-362-1504
Medicaid Website Address http://medicaid.alabama.gov

Alaska

Mandated Private Insurance Coverage No
Insurance Coverage of Forumla and Limits Formula only. Limit set by ea. Ins. Company
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance PKU
WIC Coverage Yes
Medicaid Coverage Limited
Other State Programs Center for Children W/ Special Needs
866-987-2500
206-884-5735
State Medicaid Contact Information 907-269-6529
Medicaid Website Address http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-State/alaska.html

Arizona

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits Total limit $5K Food & Formula
Insurance Coverage of Low Protein Foods and Limits Up to 50% of food cost. Limit $5K Food/Formula
Metabolic Conditions Covered by Insurance MSUD,Homo-cystenuria, galactosemia
WIC Coverage Limited
Medicaid Coverage Yes
Other State Programs Children w/Special Healthcare Needs
State Department of Health
602-542-1860
State Medicaid Contact Information 800-352-8401
602-542-9935
Medicaid Website Address http://www.azahcccs.gov

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Arkansas

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits After $2400 income tax credit
Insurance Coverage of Low Protein Foods and Limits After $2400 income tax credit
Metabolic Conditions Covered by Insurance PKU,Galacto-semia, organic acidemias, amino acid disorders
WIC Coverage Yes
Medicaid Coverage  
Other State Programs Children's Medical Service
870-612-5223
State Medicaid Contact Information 800-482-5850 xt 22277
Medicaid Website Address www.medicaid.state.ar.us/

California

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits No Limit
Insurance Coverage of Low Protein Foods and Limits No Limit
Metabolic Conditions Covered by Insurance PKU
WIC Coverage No
Medicaid Coverage Yes
Other State Programs California Children's Services-GHPP
800-639-0597
State Medicaid Contact Information 916-440-7400
Medicaid Website Address http://www.medi-cal.ca.gov

Colorado

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits Formula & modular counterparts
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance All Inborn Errors of Metabolism
WIC Coverage Yes
Medicaid Coverage Yes
Other State Programs HCD-Healthcare Program for Children w/Special Needs & Child Health Plus
303-692-2370
State Medicaid Contact Information 303-866-5700
Medicaid Website Address http://www.colorado.gov

Connecticut

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits No Limit
Insurance Coverage of Low Protein Foods and Limits No Limit
Metabolic Conditions Covered by Insurance All Inborn Errors of Metabolism
WIC Coverage Yes
Medicaid Coverage Yes
Other State Programs Family Health Service Division (BCH)
860-509-8074
State Medicaid Contact Information 800-842-1508
Medicaid Website Address pqr.dss@po.state.ct.us

 

District of Columbia

Mandated Private Insurance Coverage No
Insurance Coverage of Forumla and Limits None
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage Yes
Medicaid Coverage Enteral not oral
Other State Programs Health Services for Children W/ Special Needs
State Medicaid Contact Information 202-442-5999
Medicaid Website Address http://doh.dc.gov/doh/site/default.asp

Delaware

Mandated Private Insurance Coverage No
Insurance Coverage of Forumla and Limits None
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage Yes
Medicaid Coverage Yes
Other State Programs Children w/Special Healthcare Needs (CSHCN)
State Medicaid Contact Information 800-372-2022
Medicaid Website Address http://www.state.de.us.dhss.index.html

Florida

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits State provides formula for PKU only;
Ins. provides formula for other IEM's.
Insurance Coverage of Low Protein Foods and Limits Low- Pro Foods only;
$2500 Limit
Metabolic Conditions Covered by Insurance All Inborn Errors of Metabolism
WIC Coverage Yes
Medicaid Coverage Yes-PKU
Other State Programs Children's Medical Service
850-245-4209
State Medicaid Contact Information 850-412-4000
Medicaid Website Address http://ahca.myflorida.com/medicaid/

Georgia

Mandated Private Insurance Coverage No Mandated Coverage
Insurance Coverage of Forumla and Limits None
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage Yes
Medicaid Coverage Enteral not oral
Other State Programs Emory State Program;
Children's Medical Services
404-657-4855
State Medicaid Contact Information 404-656-4507
Medicaid Website Address http://dch.georgia.gov

Hawaii

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits Up to 80% of cost
Insurance Coverage of Low Protein Foods and Limits Up to 80% of cost
Metabolic Conditions Covered by Insurance All Inborn Errors of Metabolism
WIC Coverage Yes
Medicaid Coverage Yes
Other State Programs Children w/Special Healthcare Needs(CSHNB)
State Medicaid Contact Information 800-316-8005
Medicaid Website Address http://www.med-quest.us

Idaho

Mandated Private Insurance Coverage No
Insurance Coverage of Forumla and Limits None
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage Yes
Medicaid Coverage Enteral not oral
Other State Programs Children's Special Health Program
877-887-3075
State Medicaid Contact Information 208-334-5747
Medicaid Website Address http://www.healthandwelfare.idaho.gov

Illinois

Mandated Private Insurance Coverage No
Insurance Coverage of Forumla and Limits None
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage Limited
Medicaid Coverage Yes
Other State Programs May be considered upon by request
State Medicaid Contact Information 800-843-6154
Medicaid Website Address http://www2.illinois.gov

 

Indiana

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits Formula only; No limit
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance All Inborn Errors of Metabolism
WIC Coverage Yes
Medicaid Coverage Yes
Other State Programs Riley Children's Hospital
317-233-1351
State Medicaid Contact Information 317-233-4455
Medicaid Website Address http://www.in.gov

Iowa

Mandated Private Insurance Coverage No
Insurance Coverage of Forumla and Limits None
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage Yes
Medicaid Coverage Yes
Other State Programs Children's Special Health Care Services (CSHCS)
State Medicaid Contact Information 800-972-2017
Medicaid Website Address http://www.dhs.iowa.gov

Kansas

Mandated Private Insurance Coverage No
Insurance Coverage of Forumla and Limits None
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage WIC will cover if not covered by CSHCN and WIC coverage requested
Medicaid Coverage Individual consideration-case-by-case
Other State Programs Services For Children W/ Special Healthcare Needs
800-332-6262
State Medicaid Contact Information 800-766-9012
Medicaid Website Address https://www.kmap-state-ks.us

Kentucky

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits $24K annual limit on Food
Insurance Coverage of Low Protein Foods and Limits $4K annual limit
Metabolic Conditions Covered by Insurance All Inborn Errors of Metabolism
WIC Coverage Yes
Medicaid Coverage May be considered upon by request
Other State Programs Commission for Children w/Special Healthcare Needs
502-429-4430
State Medicaid Contact Information 502-564-3232
Medicaid Website Address http://www.chfs.ky.gov

Louisiana

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits $2400/yr
Insurance Coverage of Low Protein Foods and Limits $2400/yr
Metabolic Conditions Covered by Insurance Glutaric Acidemia; Isovaleric Acidemia; MSUD;Methylmalonic Acidemia;PKU;Propionic Acidemia; Tyrosinemia; Urea cycle defects.
WIC Coverage  
Medicaid Coverage Yes
Other State Programs Children's Special Health Services (CSHS)
504-565-5055
State Medicaid Contact Information 225-342-9500
Medicaid Website Address http://new.dhh.louisiana.gov

Maine

Coming Soon

Maryland

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits No Limit
Insurance Coverage of Low Protein Foods and Limits No Limit
Metabolic Conditions Covered by Insurance All Inborn Errors of Metabolism
WIC Coverage  
Medicaid Coverage Yes
Other State Programs Office of Genetics & Children's Special Health Needs:
Children's Medical Services (CMS)
410-767-5585
State Medicaid Contact Information 410-767-5800
Medicaid Website Address www.dhmh.state.md.us

Massachusetts

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits No Limit
Insurance Coverage of Low Protein Foods and Limits $2500 food limit
Metabolic Conditions Covered by Insurance Inherited diseases of amino and organic acids
WIC Coverage Limited
Medicaid Coverage Individual consideration-case-by-case
Other State Programs Bureau of Family and Community Health
State Medicaid Contact Information 888-665-9993
Medicaid Website Address http://www.mass.gov/dma

 

Michigan

Mandated Private Insurance Coverage No
Insurance Coverage of Forumla and Limits None
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage Yes
Medicaid Coverage Individual consideration-case-by-case
Other State Programs Children with Special Health Needs
800-359-3722
State Medicaid Contact Information 517-373-3740
Medicaid Website Address http://www.michigan.gov/mdhhs

Minnesota

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits No Limit
Insurance Coverage of Low Protein Foods and Limits No Limit
Metabolic Conditions Covered by Insurance PKU
WIC Coverage Yes
Medicaid Coverage Individual consideration-case-by-case after 30 days unless, PKU, MSUD,Hyperlysinemia w/tube
Other State Programs MN Children w/Special Health Needs
800-728-5420
State Medicaid Contact Information 651-431-2000
Medicaid Website Address http://www.dhs.state.mn.us

Mississippi

Mandated Private Insurance Coverage No
Insurance Coverage of Forumla and Limits None
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage Yes
Medicaid Coverage Individual consideration-case-by-case
Other State Programs Children's Medical Program;
State Formulary
601-713-3457
State Medicaid Contact Information 651-431-2000
Medicaid Website Address http://www.medicaid.ms.gov

Missouri

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits > 6 yrs. Old; up to $5K
Insurance Coverage of Low Protein Foods and Limits > 6 yrs. Old; up to $5K
Metabolic Conditions Covered by Insurance All Inborn Errors of Metabolism
WIC Coverage PKU, MSUD
Medicaid Coverage Yes
Other State Programs State Formulary & BR
800-844-0898
State Medicaid Contact Information 573-751-4815
Medicaid Website Address http://dss.mo.gov/fsd/msmed.htm

Nebraska

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits None
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage No
Medicaid Coverage Yes
Other State Programs Newborn Screening Grant
402-559-3660
State Medicaid Contact Information 402-471-6035
Medicaid Website Address http://dhhs.ne.gov/pages/urlchange.aspx

Montana

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits No Limit
Insurance Coverage of Low Protein Foods and Limits No Limit
Metabolic Conditions Covered by Insurance All Inborn Errors of Metabolism
WIC Coverage No information
Medicaid Coverage Yes
Other State Programs Special Health Services
800-762-9891
State Medicaid Contact Information 406-444-4540
Medicaid Website Address http://www.dphhs.mt.gov/programsservices/medicaid.shtml

Nebraska

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits None
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage No
Medicaid Coverage Yes
Other State Programs Newborn Screening Grant
402-559-3660
State Medicaid Contact Information 402-471-6035
Medicaid Website Address http://dhhs.ne.gov/pages/urlchange.aspx

Nevada

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits No Limit
Insurance Coverage of Low Protein Foods and Limits $2500 food limit
Metabolic Conditions Covered by Insurance All Inborn Errors of Metabolism
WIC Coverage No information
Medicaid Coverage Enteral not oral
Other State Programs Children w/ Special Health Care Needs(CSHCN)
State Medicaid Contact Information 775-684-3676
Medicaid Website Address http://www.nvaging.net

New Hampshire

Mandated Private Insurance Coverage Mandated Coverage
Insurance Coverage of Forumla and Limits No Limit
Insurance Coverage of Low Protein Foods and Limits Up to $1800 for Lo-pro food
Metabolic Conditions Covered by Insurance Inherited diseases of amino and organic acids
WIC Coverage No
Medicaid Coverage Enteral not oral
Other State Programs Bureau of Special Medical Services
603-271-4595
State Medicaid Contact Information 800-852-3345 ext 5254
Medicaid Website Address http://www.dhhs.state.nh.us/DHHS/DHHS_SITE/default.htm

New Mexico

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits No Limit
Insurance Coverage of Low Protein Foods and Limits No Limit
Metabolic Conditions Covered by Insurance All Inborn Errors of Metabolism
WIC Coverage Yes
Medicaid Coverage Individual consideration-case-by-case if oral
Other State Programs Children's Medical Services
505-902-7491
State Medicaid Contact Information 505-827-3100
Medicaid Website Address http://www.newmexico.gov

New Mexico

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits No Limit
Insurance Coverage of Low Protein Foods and Limits No Limit
Metabolic Conditions Covered by Insurance All Inborn Errors of Metabolism
WIC Coverage Yes
Medicaid Coverage Individual consideration-case-by-case if oral
Other State Programs Children's Medical Services
505-902-7491
State Medicaid Contact Information 505-827-3100
Medicaid Website Address http://www.newmexico.gov

New Jersey

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits No Limit
Insurance Coverage of Low Protein Foods and Limits No Limit
Metabolic Conditions Covered by Insurance All Inborn Errors of Metabolism
WIC Coverage Yes
Medicaid Coverage 3 Specialty clinics
Other State Programs Special Child, Adult & Early Intervention Services
609-292-1582
State Medicaid Contact Information 800-356-1561
Medicaid Website Address http://www.state.nj.us/humanservices/dmahs/home/index.html

 

New Mexico

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits No Limit
Insurance Coverage of Low Protein Foods and Limits No Limit
Metabolic Conditions Covered by Insurance All Inborn Errors of Metabolism
WIC Coverage Yes
Medicaid Coverage Individual consideration-case-by-case if oral
Other State Programs Children's Medical Services
505-902-7491
State Medicaid Contact Information 505-827-3100
Medicaid Website Address http://www.newmexico.gov

New York

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits No Limit
Insurance Coverage of Low Protein Foods and Limits $2500 food limit
Metabolic Conditions Covered by Insurance All Inborn Errors of Metabolism
WIC Coverage Yes
Medicaid Coverage Individual consideration-case-by-case
Other State Programs CSHCN
State Medicaid Contact Information 866-211-1736
Medicaid Website Address http://www.health.ny.gov/health_care/medicaid

North Carolina

Mandated Private Insurance Coverage No
Insurance Coverage of Forumla and Limits None
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage Yes
Medicaid Coverage Individual consideration-case-by-case
Other State Programs Children w/Special Health Care Needs
800-737-3028
State Medicaid Contact Information 919-707-5762
Medicaid Website Address http://www.ncdhhs.gov/dma

North Dakota

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits No Limit
Insurance Coverage of Low Protein Foods and Limits No Limit
Metabolic Conditions Covered by Insurance MSUD, PKU
WIC Coverage Yes
Medicaid Coverage Yes
Other State Programs Children's Special Health Services (CSHS)
701-328-2436
State Medicaid Contact Information 701-328-2321
Medicaid Website Address http://www.nd.gov/dhs

Ohio

Mandated Private Insurance Coverage No Mandated Coverage
Insurance Coverage of Forumla and Limits None
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage No
Medicaid Coverage Yes
Other State Programs State Formulary;
OH Department of Health Metabolic Program;
Bureau for Children w/Medical Handicaps;
601-644-8389
State Medicaid Contact Information 800-324-8680
Medicaid Website Address http://ohio.gov

Oklahoma

Mandated Private Insurance Coverage No Mandated Coverage
Insurance Coverage of Forumla and Limits None
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage Limited
Medicaid Coverage Individual consideration-case-by-case if not PKU
Other State Programs Children w/Special Health Care Needs
State Medicaid Contact Information 800-987-7767
Medicaid Website Address http://okhca.org

Oregon

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits No Limit
Insurance Coverage of Low Protein Foods and Limits No Limit
Metabolic Conditions Covered by Insurance All Inborn Errors of Metabolism
WIC Coverage No
Medicaid Coverage Yes
Other State Programs Children w/Special Health Needs Branch
405-521-3646
State Medicaid Contact Information 503-945-5772
Medicaid Website Address http://egov.oregon.gov/DHS/index.shtml

Pennsylvania

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits No Limit
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance PKU, branched-chain Ketonuria,galactosemia, hemocystinuria
WIC Coverage Limited
Medicaid Coverage Individual consideration-case-by-case
Other State Programs Bureau of Family Health; Newborn Screening (NBS)
717-783-8143
State Medicaid Contact Information 800-692-7462
Medicaid Website Address http://www.dpw.state.pa.us/index.htm

Puerto Rico

Mandated Private Insurance Coverage Non-Mandated
Insurance Coverage of Forumla and Limits None
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage Yes
Medicaid Coverage Oral and tube
Other State Programs ASES (Administration de Seguros de Salud)
State Medicaid Contact Information 800-981-2737
Medicaid Website Address http://www.pr.gov

Rhode Island

Mandated Private Insurance Coverage No
Insurance Coverage of Forumla and Limits None
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage May be considered upon by request
Medicaid Coverage Individual consideration-case-by-case
Other State Programs State Formulary;
Office of Children w/ Special Needs
State Medicaid Contact Information 401-462-5300
Medicaid Website Address http://www.dhs.ri.gov

South Carolina

Mandated Private Insurance Coverage No
Insurance Coverage of Forumla and Limits None
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage Yes
Medicaid Coverage Enteral not oral
Other State Programs State Formulary;
Children's Rehab Services
State Medicaid Contact Information 800-768-5700
Medicaid Website Address http://www.scdhhs.gov/openpublic/InsideDHHS/Bureaus

South Dakota

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits No Limit
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance PKU
WIC Coverage PKU
Medicaid Coverage Enteral not oral
Other State Programs Children's Special Health Services
State Medicaid Contact Information 605-773-2944
Medicaid Website Address http://dss.sd.gov/medicalservices

Tennessee

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits No Limit
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance PKU
WIC Coverage Yes
Medicaid Coverage Yes
Other State Programs Children's Special Services
State Medicaid Contact Information 866-311-4287
Medicaid Website Address http://www.tn.gov/tenncare/index.shtml

Texas

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits No Limit
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance Inborn errors of amino acid or urea organic acid metabolism
WIC Coverage Yes
Medicaid Coverage Individual consideration-case-by-case
Other State Programs Children w/ Special Needs
800-252-8023
State Medicaid Contact Information 800-252-8263
Medicaid Website Address http://www.hhsc.state.tx.us/medicaid

 

Utah

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits No Limit
Insurance Coverage of Low Protein Foods and Limits No Limit
Metabolic Conditions Covered by Insurance Inborn errors of amino acid or urea cycle metabolism
WIC Coverage May be considered upon by request
Medicaid Coverage Individual consideration-case-by-case
Other State Programs Children w/Special Health Care Needs(CSHCN)
State Medicaid Contact Information 800-662-9651
Medicaid Website Address http://health.utah.gov/medicaid

Vermont

Mandated Private Insurance Coverage Mandated Coverage
Insurance Coverage of Forumla and Limits No Limit
Insurance Coverage of Low Protein Foods and Limits $2500 Low-Pro foods
Metabolic Conditions Covered by Insurance All Inborn Errors of Metabolism
WIC Coverage May be considered upon by request
Medicaid Coverage Yes
Other State Programs Department of Children & Families;
Children w/Special Health Needs
802-847-4463
State Medicaid Contact Information 802-879-5900
Medicaid Website Address http://healthvermont.gov/family/insurance/index.aspx

Virgin Islands, U.S.

Mandated Private Insurance Coverage No
Insurance Coverage of Forumla and Limits None
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage Yes
Medicaid Coverage Tube
Other State Programs Department of Health;
CSHCN
State Medicaid Contact Information 804-225-2773
Medicaid Website Address http://www.gov.vi

Virginia

Mandated Private Insurance Coverage No Mandated Coverage
Insurance Coverage of Forumla and Limits None
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage Yes
Medicaid Coverage Tube
Other State Programs Department of Health;
CSHCN
State Medicaid Contact Information 804-225-2773
Medicaid Website Address http://www.dmas.virginia.gov

Washington

Mandated Private Insurance Coverage Yes
Insurance Coverage of Forumla and Limits No Limit
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance PKU
WIC Coverage No
Medicaid Coverage Yes
Other State Programs Center for Children W/ Special Needs
866-987-2500
206-884-5735
State Medicaid Contact Information 800-562-3022
Medicaid Website Address http://maa.dshs.wa.gov

West Virginia

Mandated Private Insurance Coverage No
Insurance Coverage of Forumla and Limits None
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage Referred to WV metabolic program
Medicaid Coverage Referred to WV metabolic program
Other State Programs Department of Family Health-Newborn Services (NBS)
State Medicaid Contact Information 888-483-0797
Medicaid Website Address http://www.dhhr.wv.gov/bms

Wisconsin

Mandated Private Insurance Coverage No
Insurance Coverage of Forumla and Limits None
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage No
Medicaid Coverage Yes
Other State Programs State Formulary;
Department of Health-Newborn Services (NBS)
State Medicaid Contact Information 608-266-1865
Medicaid Website Address http://www.dhs.wisconsin.gov/medicaid

Wyoming

Mandated Private Insurance Coverage No
Insurance Coverage of Forumla and Limits None
Insurance Coverage of Low Protein Foods and Limits None
Metabolic Conditions Covered by Insurance None
WIC Coverage Yes
Medicaid Coverage Yes
Other State Programs Genetic and Metabolic Clinic;
SCHIP
State Medicaid Contact Information 307-777-5775
Medicaid Website Address http://www.health.wyo.gov/healthcarefin/equalitycare/index.html