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B. All individual policies and contracts 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 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 individual | | policy. |
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| | This subsection may not be construed to allow coverage and | benefits for the treatment of alcoholism or other drug | dependencies through the diagnosis of a mental illness listed in | paragraph A. |
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| | | Sec. VV-9. 24-A MRSA §2749-C, sub-§2, as enacted by PL 1995, c. 407, | | §5, is amended to read: |
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| | | 2. Contracts; providers. Subject to approval by the | superintendent pursuant to section 2305, an An insurer | | incorporated under this chapter shall offer contracts to | | providers authorizing the provision of mental health services | | within the scope of the provider's licensure. |
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| | | Sec. VV-10. 24-A MRSA §2843, sub-§3, ¶¶A-1 and A-2 are enacted to read: |
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| | | A-1.__"Diagnostic and statistical manual" means the | | Diagnostic and Statistical Manual of Mental Disorders, 4th | | edition, published by the American Psychiatric Association. |
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| | | A-2.__"Home health care services" means those services | | rendered by a licensed provider of mental health services to | | provide medically necessary health care to a person |
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