31A-22-630.1. Mobile mammography screening coverage.
(1) As used in this section:
(a) "Approved mobile mammography unit" means a mobile mammography bus or vehicle that is:
(i) equipped with mammography equipment to perform a mobile mammography screening; and
(ii) approved by an accrediting body designated by the federal Food and Drug Administration to perform mammography screenings.
(b) "Rural area" means a county of the third, fourth, fifth, or sixth class as classified under Section 17-60-104.
(2) A health benefit plan that covers a mammography screening shall provide coverage of a mobile mammography screening if the mobile mammography screening is performed:
(a) by an approved mobile mammography unit; and
(b) in a rural area.
(3) Coverage described in Subsection (2) shall reimburse the approved mobile mammography unit at the same rate that a health benefit plan reimburses for an in-network mammography screening performed in another setting.
(4) An approved mobile mammography unit:
(a) shall accept the amount reimbursed in Subsection (3) and any applicable enrollee cost sharing as payment in full; and
(b) may only provide mammography screening services for an enrollee in accordance with the United States Preventative Services Task Force Guidelines on age and frequency.