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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 group | | contract. |
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| | | This subsection may not be construed to allow coverage and | | benefits for the treatment of alcoholism and other drug | | dependencies through the diagnosis of a mental illness listed | | in paragraph A. |
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| | | Sec. VV-16. 24-A MRSA §4234-A, sub-§3, ¶A-1 is enacted to read: |
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| | | 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 behalf of the person.__ | | "Home support services" includes, but is not limited to: |
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| | | (1)__Case management services and assertive community | | treatment services; |
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| | | (2)__Medication education and monitoring; |
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| | | (3)__Crisis intervention and resolution services and | | follow-up services; and |
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| | | (4)__Individual, group and family counseling | | services. |
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| | | Sec. VV-17. 24-A MRSA §4234-A, sub-§3, ¶D, as enacted by PL 1995, c. | | 407, §10, is amended to read: |
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| | D. "Person suffering from a mental or nervous condition | | illness" means a person whose psychobiological processes are | | impaired severely enough to manifest problems in the area of | | social, psychological or biological functioning. Such a person | | has a disorder of thought, mood, perception, orientation or | | memory that impairs judgment, behavior, capacity to recognize | | or ability to cope with the ordinary demands of life. The | | person manifests an impaired capacity |
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