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Provider News Digest

2026 Nutritional Formula Coverage Update

Practice Management
Jan 12, 2026

Some Utah and Idaho commercial plan certificates of coverage (COC) contain language that states nutritional formula may be covered if Select Health medical policy criteria are met.

Starting in 2026, Select Health will use InterQual criteria to assess the medical necessity of nutritional formula care for these specific plans. For all other plans, please refer to member materials.

Questions?

If you have questions about nutritional formula coverage, please contact Catherine Burton.
catherine.burton@imail.org
Doctor reviewing paperwork on a clipboard
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