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delivery, continued or renewed in this State on or after | July 1, 1996 that provides benefits meeting 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 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. |
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| | (2) At the request of a nonprofit hospital or and | | medical service 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 individual or group | | contract. |
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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. 7. 24 MRSA §2325-A, sub-§6, as enacted by PL 1983, c. 515, §4, | | is amended to read: |
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| | | 6. Contracts; providers. Subject to the approval by the | | Superintendent of Insurance pursuant to section 2305, a | nonprofit hospital or and a medical service organization | | incorporated under this chapter shall offer contracts to | | providers, including those listed in Title 24-A, sections 2744 | | and 2835, subsection 1, authorizing the provision of mental | | health services within the scope of the provider's licensure. |
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| | | Sec. 8. 24-A MRSA §2749-C, sub-§1, as amended by PL 1995, c. 637, §3, | | is further amended to read: |
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| | | 1. Coverage for treatment for certain mental illnesses. | | Coverage for medical or psychiatric treatment for mental | | illnesses listed in paragraph A by all individual policies is | | subject to this section. |
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| | | A. All individual policies must make available coverage | | providing, at a minimum, benefits according to paragraph B, |
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