| | | person has a disorder of thought, mood, perception, | | orientation or memory that impairs judgment, behavior, | | capacity to recognize or ability to cope with the ordinary | | demands of life. The person manifests an impaired capacity | | to maintain acceptable levels of functioning in the area of | | intellect, emotion or physical well-being. |
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| | | Sec. VV-19. 24-A MRSA §4234-A, sub-§§4 and 5, as enacted by PL 1995, c. | | 407, §10, are amended to read: |
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| | | 4. Requirement. Every health maintenance organization that | | issues individual or group health care contracts providing | coverage for hospital care to residents of this State shall | | provide benefits as required in this section to any subscriber or | | other person covered under those contracts for conditions arising | | from mental illness. |
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| | | 5. Services. Each individual or group contract must provide, | at a minimum, for medically necessary health care for a person | | suffering from mental illness. Medically necessary health care | includes, but is not limited to, the following benefits services | for a person suffering from a mental or nervous condition | | illness: |
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| | B. Day treatment services; and |
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| | C. Outpatient services.; and |
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| | | D.__Home health care services. |
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| | | Sec. VV-20. 24-A MRSA §4234-A, sub-§6, as amended by PL 1995, c. 637, | | §6, is further amended to read: |
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| | | 6. Coverage for treatment of certain mental illnesses. | | Coverage for medical treatment for mental illnesses listed in | paragraph A A-1 is subject to this subsection. |
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| | A. All group contracts must provide, at a minimum, benefits | according to paragraph B, subparagraph (1) for a person | receiving medical treatment for any of the following mental | illnesses 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 human behavior: |
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