Common use of Mental Health and Substance Use Disorder Clause in Contracts

Mental Health and Substance Use Disorder. The Plan provides Benefits for Mental Health and Substance Use Disorder services when they are for the active treatment of Mental Health and Substance Use Disorder. An established plan of treatment may be required. This includes Inpatient, Outpatient, residential, and Day Treatment Program services for Mental Health and Substance Use Disorder when you receive them from a Provider. If you receive services from a Community Mental Health Center or Substance Use Disorder Treatment Facility, services must be: a. Supervised by a licensed Physician, licensed psychologist, or licensed clinical social worker; and b. Part of a plan of treatment for furnishing such services established by the appropriate staff member. The Plan provides Benefits for only the following mental health and Substance Use Disorder treatment services when Medically Necessary: a. Applied behavioral health services b. Room and board, including general nursing; c. Prescription drugs, biologicals, and solutions administered to inpatients; d. Supplies and use of equipment required for detoxification and rehabilitation; e. Diagnostic and evaluation services; f. Intervention and assessment; g. Facility-based professional and ancillary services; h. Individual, group, and family therapy and counseling; i. Medication checks; j. Psychological and Neuropsychological testing; and k. Emergency treatment for the sudden onset of a mental health or Substance Use Disorder condition requiring immediate and acute treatment. Outpatient visits for Substance Use Disorder conditions may be furnished during the acute detoxification stage of treatment or during stages of rehabilitation. The Member cost-sharing will be waived for the first 3 outpatient office visits in the Plan Year to an In- Network mental health or Substance Use Disorder provider.

Mental Health and Substance Use Disorder. The Plan provides Benefits for Mental Health and Substance Use Disorder services when they are for the active treatment of Mental Health and Substance Use DisorderDisorders. An established plan of treatment may be required. This includes Inpatient, Outpatient, residential, and Day Treatment Program services for Mental Health and Substance Use Disorder when you receive them from a Provider. If you receive services from a Community Mental Health Center or Substance Use Disorder Treatment Facility, services must be: a. Supervised by a licensed Physician, licensed clinical psychologist, or licensed clinical social worker; and b. Part of a plan of treatment for furnishing such services established by the appropriate staff member. The Plan provides Benefits for only the following mental health and Substance Use Disorder treatment services when Medically Necessary: a. Applied behavioral health services b. Room and board, including general nursing; c. b. Prescription drugs, biologicals, and solutions administered to inpatients; d. c. Supplies and use of equipment required for detoxification and rehabilitation; e. d. Diagnostic and evaluation services; f. e. Intervention and assessment; g. f. Facility-based professional and ancillary services; h. g. Individual, group, and family therapy and counseling; i. h. Medication checks; j. i. Psychological and Neuropsychological testing; and k. j. Emergency treatment for the sudden onset of a mental health or Substance Use Disorder condition requiring immediate and acute treatment. Outpatient visits for Substance Use Disorder conditions may be furnished during the acute detoxification stage of treatment or during stages of rehabilitation. [The Member cost-sharing will be waived for the first 3 outpatient office visits in the Plan Year to an In- In-Network mental health or Substance Use Disorder provider.]

Mental Health and Substance Use Disorder. The Plan provides Benefits for Mental Health and Substance Use Disorder services when they are for the active treatment of Mental Health and Substance Use Disorder. An established plan of treatment may be required. This includes Inpatient, Outpatient, residential, and Day Treatment Program services for Mental Health and Substance Use Disorder when you receive them from a Provider. If you receive services from a Community Mental Health Center or Substance Use Disorder Treatment Facility, services must be: a. Supervised by a licensed Physician, licensed clinical psychologist, or licensed clinical social worker; and b. Part of a plan of treatment for furnishing such services established by the appropriate staff member. The Plan provides Benefits for only the following mental health and Substance Use Disorder treatment services when Medically Necessary: a. Applied behavioral health services b. Room and board, including general nursing; c. b. Prescription drugs, biologicals, and solutions administered to inpatients; d. c. Supplies and use of equipment required for detoxification and rehabilitation; e. d. Diagnostic and evaluation services; f. e. Intervention and assessment; g. f. Facility-based professional and ancillary services; h. g. Individual, group, and family therapy and counseling; i. h. Medication checks; j. i. Psychological and Neuropsychological testing; and k. j. Emergency treatment for the sudden onset of a mental health or Substance Use Disorder condition requiring immediate and acute treatment. Outpatient visits for Substance Use Disorder conditions may be furnished during the acute detoxification stage of treatment or during stages of rehabilitation. The Member cost-sharing will be waived for the first 3 outpatient office visits in the Plan Year to an In- In-Network mental health or Substance Use Disorder provider.

Mental Health and Substance Use Disorder. The Plan provides Benefits for Mental Health and Substance Use Disorder services when they are for the active treatment of Mental Health and Substance Use DisorderDisorders. An established plan of treatment may be required. This includes Inpatient, Outpatient, residential, and Day Treatment Program services for Mental Health and Substance Use Disorder when you receive them from a Provider. If you receive services from a Community Mental Health Center or Substance Use Disorder Treatment Facility, services must be: a. Supervised by a licensed Physician, licensed clinical psychologist, or licensed clinical social worker; and b. Part of a plan of treatment for furnishing such services established by the appropriate staff member. The Plan provides Benefits for only the following mental health and Substance Use Disorder treatment services when Medically Necessary: a. Applied behavioral health services b. Room and board, including general nursing; c. b. Prescription drugs, biologicals, and solutions administered to inpatients; d. c. Supplies and use of equipment required for detoxification and rehabilitation; e. d. Diagnostic and evaluation services; f. e. Intervention and assessment; g. f. Facility-based professional and ancillary services; h. g. Individual, group, and family therapy and counseling; i. h. Medication checks; j. i. Psychological and Neuropsychological testing; and k. j. Emergency treatment for the sudden onset of a mental health or Substance Use Disorder condition requiring immediate and acute treatment. Outpatient visits for Substance Use Disorder conditions may be furnished during the acute detoxification stage of treatment or during stages of rehabilitation. The Member cost-sharing will be waived for the first 3 outpatient office visits in the Plan Year to an In- In-Network mental health or Substance Use Disorder provider.