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State Mandated Benefits: Osteoporosis Screening, 2008

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 Mandates Osteoporosis Screening?Notes
United States13 Yes 
AlabamaNo 
AlaskaNo 
ArizonaNo 
ArkansasNo 
CaliforniaYesAll services related to diagnosis, treatment and management are covered.
ColoradoNo 
ConnecticutNo 
DelawareNo 
District of ColumbiaNo 
FloridaYesAll services related to diagnosis and treatment are covered.
GeorgiaYesBone mass measurement for diagnosis and treatment.
HawaiiNo 
IdahoNo 
IllinoisYesBone mass measurement for diagnosis and treatment.
IndianaNo 
IowaNo 
KansasYesAll services related to diagnosis and treatment are covered.
KentuckyYesBone density testing for women age 35 and over.
LouisianaYesBone density testing for women age 35 and over.
MaineNo 
MarylandYesBone mass measurement, diagnosis, treatment and management.
MassachusettsNo 
MichiganNo 
MinnesotaNo 
MississippiNo 
MissouriYesTesting and treatment.
MontanaNo 
NebraskaNo 
NevadaNo 
New HampshireNo 
New JerseyNo 
New MexicoNo 
New YorkYesBone density tests and treatment.
North CarolinaYesBone mass evaluation.
North DakotaNo 
OhioNo 
OklahomaYesBone density test for women 45 years and older. Maximum benefit $150 per test.
OregonNo 
PennsylvaniaNo 
Rhode IslandNo 
South CarolinaNo 
South DakotaNo 
TennesseeYesBone mass measurement for diagnosis and treatment.
TexasYesBone mass measurement for diagnosis and treatment.
UtahNo 
VermontNo 
VirginiaNo 
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: 

Bone mass measurement: A radiologic or radioistopic procedure or other scientifically proven technology performed on an individual for the purpose of identifying bone mass or detecting bone loss.
High-risk or qualified individuals: Estrogen-deficient individuals who are at clinical risk for the disease; individuals with vertebral abnormalities; individuals receiving long-term glucocorticoid (steroid) therapy; individuals who have primary hyperparathyroidism; individuals being monitored to assess the efficacy of approved osteoporosis drug therapies; or those with a family history.
Specialized health benefit plans: May include accident-only, disability income, hospital indemnity, Medicare supplement, long-term care, specified disease and other limited benefit health insurance policies or short-term medical policies of six months or less.

NA: Data not available.




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