LD 1319
pg. 391
Page 390 of 423 An Act Making Unified Appropriations and Allocations for the Expenditures of St... Page 392 of 423
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LR 2000
Item 1

 
psychologist who is trained and has received a doctorate in
psychology specializing in the evaluation and treatment of
mental illness:

 
(1)__Psychotic disorders, including schizophrenia;

 
(2)__Dissociative disorders;

 
(3)__Mood disorders;

 
(4)__Anxiety disorders;

 
(5)__Personality disorders;

 
(6)__Paraphilias;

 
(7)__Attention deficit and disruptive behavior
disorders;

 
(8)__Pervasive developmental disorders;

 
(9)__Tic disorders;

 
(10)__Eating disorders, including bulimia and
anorexia; and

 
(11)__Substance abuse-related disorders.

 
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.

 
(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.

 
(2) At the request of a nonprofit hospital or medical service
organization 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


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