| (1)__Psychotic disorders, including schizophrenia; |
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| (2)__Dissociative disorders; |
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| (5)__Personality disorders; |
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| (7)__Attention deficit and disruptive behavior | disorders; |
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| (8)__Pervasive developmental disorders; |
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| (10)__Eating disorders, including bulimia and | anorexia; and |
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| (11)__Substance abuse-related disorders. |
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| B. All policies, contracts and certificates executed, | delivered, issued for delivery, continued or renewed in | this State on or after July 1, 1996 must provide 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. |
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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 reimbursing health | maintenance organization, 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. |
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