| | |
(7)__For the purposes of this section, a medication | | management visit associated with a mental illness must be | | covered in the same manner as a medication management | | visit for the treatment of a physical illness and may not | | be counted in the calculation of any maximum outpatient | | treatment visit limits. |
|
| | | This subsection 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. |
|
| | 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-21. 24-A MRSA §4234-A, sub-§7, as amended by PL 1995, c. 637, | | §7, is further amended to read: |
|
| | | 7. Mandated offer of coverage for certain mental illnesses. | | Except as provided in subsection 6, coverage for medical | | treatment for mental illnesses listed in paragraph A by all | | individual and group contracts is subject to this subsection. |
|
| | | A. All individual and group contracts must make available | | coverage providing, 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 mental illness: |
|
| | | (3) Pervasive developmental disorder, or autism; |
|
| | | (6) Obsessive-compulsive disorder; or |
|
| | | (7) Major depressive disorder. |
|
|