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this paragraph, all contracts are deemed renewed no later than | the next yearly anniversary of the contract date. |
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| (1) The contracts must provide benefits for the | treatment and diagnosis of mental illnesses under terms | and conditions that are no less extensive than the | benefits provided for medical treatment for physical | illnesses. |
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| (2) At the request of a nonprofit hospital or medical | service organization, a provider of medical treatment | for mental illness shall furnish data substantiating | that initial or continued treatment is medically | necessary and appropriate. When making the | determination of whether treatment is medically | necessary and appropriate, the provider shall use the | same criteria for medical treatment for mental illness | as for medical treatment for physical illness under the | group contract. |
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| This subsection does not apply to policies, contracts and | certificates covering employees of employers with 20 or fewer | employees, whether the group policy is issued to the employer, to | an association, to a multiple-employer trust or to another | entity. |
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| This subsection may not be construed to allow coverage and | benefits for the treatment of alcoholism or other drug | dependencies through the diagnosis of a mental illness listed in | paragraph A. |
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| | Sec. A-3. 24 MRSA §2325-A, sub-§5-D, ķA, as amended by PL 1995, c. 637, | §2, is further amended to read: |
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| A. All individual and group contracts must make available | coverage providing, at a minimum, benefits according to | paragraph B, subparagraph (1) for a person receiving medical | treatment for any of the following mental illnesses | diagnosed by a licensed allopathic or osteopathic physician | or a licensed psychologist who is trained and has received a | doctorate in psychology specializing in the evaluation and | treatment of human behavior: |
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| (3) Pervasive developmental disorder, or autism; |
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