| | | A.__"Crisis residential services" means services provided to | | persons in acute psychiatric crisis in short-term, highly | | supportive and supervised residential settings.__"Crisis | | residential services" includes monitoring of behavior, | | therapeutic intervention, supportive counseling, | | coordination with other community-based services and | | supervision to ensure personal safety. |
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| | | B.__"Crisis services" means those personal supervision | | services and therapeutic supports provided during a | | psychiatric emergency that include monitoring of behavior | | and response to therapeutic interventions, participation in | | and assistance during crisis and post-crisis stabilization | | activities and supervision to ensure personal safety.__ | | Crisis services may be provided in the insured's home or | | outside of the home. |
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| | | 2.__Required coverage.__A carrier shall provide coverage for | | crisis services and crisis residential services in all health | | plans to meet adequately the medical needs of the enrollee.__A | | carrier may require that crisis services and crisis residential | | services be rendered by an organization that is licensed as a | | crisis services or crisis residential services provider by the | | Department of Behavioral and Developmental Services. |
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| | | 3.__Exceptions.__This section does not apply to policies, | | contracts or certificates covering employees of employers with 20 | | or fewer employees, whether the group policy is issued to the | | employer, to an association, to a multiple-employer trust or to | | another entity. |
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| | | 4.__Application.__Except as__noted in subsection 3, the | | requirements of this section apply to all group policies, | | contracts and certificates executed, delivered, issued for | | delivery, continued or renewed in this State.__For purposes of | | this section, all contracts are deemed to be renewed no later | | than the next yearly anniversary of the contract date. |
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| | | Sec. FF-2. Application. This Part applies to policies, contracts and | | certificates executed, delivered, issued for delivery, continued | | or renewed in this State on or after April 1, 2004. For purposes | | of this Part, all contracts are deemed to be renewed no later | | than the next yearly anniversary of the contract date. |
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| | | Sec. FF-3. Exemption from review. Notwithstanding the Maine Revised | | Statutes, Title 24-A, section 2752, this Part must be enacted | | without review and evaluation by the Department of Professional | | and Financial Regulation, Bureau of Insurance. |
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