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State Mandated Benefits: Inpatient Mastectomy Stay, 2008

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 Mandates Coverage of Mastectomy Stay?Notes
United States20 Yes 
AlabamaNo 
AlaskaNo 
ArizonaNo 
ArkansasYes48 hours
CaliforniaYesLength of stay determined by surgeon in consultation with patient.
ColoradoNo 
ConnecticutYes48 hours, longer if determined to be medically necessary.
DelawareNo 
District of ColumbiaNo 
FloridaYesLength of stay determined by surgeon to be medically necessary.
GeorgiaYesInpatient length of stay determined by physician to be medically necessary.
HawaiiNo 
IdahoNo 
IllinoisYesInpatient stay to be determined by physician.
IndianaNo 
IowaNo 
KansasNo 
KentuckyYesLength of stay determined by surgeon in consultation with patient.
LouisianaNo 
MaineYesLength of stay determined by surgeon in consultation with patient.
MarylandYesIf less than 48 hours patient entitled to a visiting nurse within 24 hours of discharge.
MassachusettsNo 
MichiganNo 
MinnesotaNo 
MississippiNo 
MissouriNo 
MontanaYesLength of stay determined by surgeon in consultation with patient.
NebraskaNo 
NevadaNo 
New HampshireNo 
New JerseyNo 
New MexicoYes48 hour stay.
New YorkYesInpatient stay determined by physician.
North CarolinaYesInpatient stay determined by physician.
North DakotaNo 
OhioNo 
OklahomaYes48 hour stay.
OregonYesInpatient stay.
PennsylvaniaYesInpatient stay determined by physician.
Rhode IslandYes48 hour stay.
South CarolinaYes48 hour stay.
South DakotaNo 
TennesseeNo 
TexasYes48 hour stay.
UtahNo 
VermontNo 
VirginiaYes48 hours for a radical or modified radical mastectomy and 24 hours for a mastectomy or partial mastectomy.
WashingtonNo 
West VirginiaNo 
WisconsinNo 
WyomingNo 
(show/hide notes)
Notes: 

Data as of March 15, 2008
These requirements apply to managed care organizations and to the large group market (50+ employees) only.

Sources: 

Health Policy Tracking Service, a service of Thomson West, available at http://www.netscan.com.

Definitions: 

Minimum stay: Requires insurers that provide coverage for mastectomies to provide coverage for at least the specified number of hours of inpatient care following the mastectomy.




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