| | | Sec. VV-15. 24-A MRSA §2843, sub-§5-D, as amended by PL 1995, c. 637, | | §5, is further amended to read: |
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| | | 5-D. Mandated offer of coverage for certain mental | | illnesses. Except as otherwise provided in subsection 5-C, | | coverage for medical or psychiatric treatment for mental | | illnesses listed in paragraph A by all group contracts is | | subject to this subsection. |
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| | | A. All group contracts must make available coverage | | providing, at a minimum, benefits according to paragraph | | B, subparagraph (1) for a person receiving medical or | | psychiatric treatment for any of the following mental | | illnesses diagnosed by a licensed allopathic or | | osteopathic physician or, a licensed psychologist who is | | trained and has received a doctorate in psychology | specializing in the evaluation and treatment of human | behavior mental illness: |
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| | | (3) Pervasive developmental disorder, or autism; |
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| | | (6) Obsessive-compulsive disorder; or |
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| | | (7) Major depressive disorder. |
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| | | B. All group policies, contracts and certificates | | executed, delivered, issued for delivery, continued or | renewed in this State on or after July 1, 1996 must make | | available coverage providing 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 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 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 |
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