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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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