LD 1319
pg. 431
Page 430 of 460 PUBLIC Law Chapter 20 Page 432 of 460
Download Chapter Text
LR 2000
Item 1

 
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.

 
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.

 
Sec. VV-16. 24-A MRSA §4234-A, sub-§3, ¶¶A-1 and A-2 are enacted to read:

 
A-1. "Diagnostic and Statistical Manual" means the
Diagnostic and Statistical Manual of Mental Disorders, 4th
edition, published by the American Psychiatric Association.

 
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
suffering from a mental illness in the person's place of
residence if:

 
(1) Hospitalization or confinement in a residential
treatment facility would otherwise have been required
if home health care services were not provided;

 
(2) Hospitalization or confinement in a residential
treatment facility is not required as an antecedent to
the provision of home health care services; and

 
(3) The services are prescribed in writing 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.

 
Sec. VV-17. 24-A MRSA §4234-A, sub-§3, ¶B-1 is enacted to read:

 
B-1. "Medically necessary health care" has the same meaning
as in section 4301-A, subsection 10-A.

 
Sec. VV-18. 24-A MRSA §4234-A, sub-§3, ¶D, as enacted by PL 1995, c.
407, §10, is amended to read:

 
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


Page 430 of 460 Top of Page Page 432 of 460
Related Pages
  Search Bill Text Legislative Information
Bill Directory Search
Bill
Status
Session Information
119th Legislature Bills Maine Legislature

Office of Legislative Information
100 State House Station
Augusta, ME 04333
voice: (207) 287-1692
fax: (207) 287-1580
tty: (207) 287-6826
Word Viewer for Windows Disclaimer