| | | (6) Obsessive-compulsive disorder; or |
|
| | | (7) Major depressive disorder. |
|
| | | B. All group policies, contracts and certificates | | executed, delivered, issued for delivery, continued or | renewed in this State on or after July 1, 1996 must make | | available coverage providing benefits that meet the | | requirements of this paragraph. For purposes of this | | paragraph, all contracts are deemed renewed no later than | | the next yearly anniversary of the contract date. |
|
| | | (1) The offer of coverage 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. |
|
| | | (2) At the request of a reimbursing insurer, a | | provider of medical or psychiatric treatment for | | mental illness shall furnish data substantiating that | | initial or continued treatment is medically or | | psychiatrically necessary and appropriate. When | | making the determination of whether treatment is | | medically or psychiatrically necessary and | | appropriate, the provider shall use the same criteria | | for medical or psychiatric treatment for mental | | illness as for medical treatment for physical illness | | under the group contract. |
|
| | | This subsection may not be construed to allow coverage and | | benefits for the treatment of alcoholism and other drug | | dependencies through the diagnosis of a mental illness listed | | in paragraph A. |
|
| | | Sec. 16. 24-A MRSA §4234-A, sub-§3, ķA-1 is enacted to read: |
|
| | | A-1.__"Home support services" means rehabilitative | | services, treatment services and living skills services | | provided for a person with a mental illness.__"Home | | support services" may be provided in a community setting | | or the person's current place of residence, and are | | services that promote the integration of the person into | | the community, sustain the person in the person's current | | living situation or another living situation of that | | person's choosing and enhance the person's quality of | | life. "Home support services" may be provided directly to | | the person or indirectly through collateral contact or by | | telephone contact or other means on behalf of the person.__ | | "Home support services" includes, but is not limited to: |
|
|