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of this section, all contracts shall be are deemed to be renewed no | | later than the next yearly anniversary of the contract date. |
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| | | Sec. 14. 24-A MRSA §4245 is enacted to read: |
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| | | §4245.__Equitable health care for alcoholism and drug dependency |
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| | | 1.__Definitions.__As used in this section, unless the context | | otherwise indicates, the following terms have the following | | meanings. |
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| | | A.__"Outpatient care" means care rendered by a state- | | licensed, approved or certified detoxification, residential | | treatment or outpatient program, or partial hospitalization | | program on a periodic basis, including, but not limited to, | | patient diagnosis, assessment and treatment, individual, | | family and group counseling and educational and support | | services. |
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| | | B.__"Residential treatment" means services at a facility | | that provides care 24 hours daily to one or more patients, | | including, but not limited to: room and board; medical, | | nursing and dietary services; patient diagnosis, assessment | | and treatment; individual, family and group counseling; and | | educational and support services, including a designated | | unit of a licensed health care facility providing any and | | all other services specified in this paragraph to patients | | with the illness of alcoholism or drug dependency. |
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| | | C.__"Treatment plan" means a written plan initiated at the | | time of admission, approved by a Doctor of Medicine, Doctor | | of Osteopathy or a licensed or registered alcohol and drug | | abuse counselor employed by a certified or licensed | | substance abuse program, including, but not limited to, the | | patient's medical, drug and alcoholism history; record of | | physical examination; diagnosis; assessment of physical | | capabilities; mental capacity; orders for medication, diet | | and special needs for the patient's health or safety and | | treatment, including medical, psychiatric, psychological, | | social services, individual, family and group counseling; | | and educational, support and referral services. |
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| | | 2.__Requirement.__A health maintenance organization that | | issues individual and group health care contracts to residents of | | this State shall provide benefits as required in this section to | | a person covered under those contracts for the treatment of | | alcoholism and other drug dependency pursuant to a treatment | | plan. |
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