| | |
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 individual policy. |
|
| | | 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. |
|
| | | Sec. VV-9. 24-A MRSA §2749-C, sub-§2, as enacted by PL 1995, c. 407, | | §5, is amended to read: |
|
| | | 2. Contracts; providers. Subject to approval by the | superintendent pursuant to section 2305, an | | incorporated under this chapter shall offer contracts to | | providers, including those providers listed in section 2744, | | subsection 1, authorizing the provision of mental health | | services within the scope of the provider's licensure. |
|
| | | Sec. VV-10. 24-A MRSA §2843, 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 |
|
|
