| 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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