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