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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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| | | For the purposes of this paragraph, the mental illness must | | be 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 mental illness. |
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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 and | | medical service organization, a provider of medical | | treatment for mental illness shall furnish data | | substantiating that initial or continued treatment is | medically necessary and appropriate health care. When | | making the determination of whether treatment is | medically necessary and appropriate health care, the | | provider shall use the same criteria for medical | | treatment for mental illness as for medical treatment | | for physical illness under the group contract. |
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