Common use of Child and Family Intensive Treatment Clause in Contracts

Child and Family Intensive Treatment. (CFIT) – This agreement covers child and family intensive treatment services that are approved by us and meets our criteria for participation and program requirements. The program is primarily based in the home for qualifying children with moderate to severe substance abuse conditions. CFIT benefits are available only for covered dependent children until their nineteenth (19th) birthday. This agreement covers services for the treatment of substance abuse for individuals and family members covered under this agreement. The services may be rendered in a provider’s office or in your home. This agreement covers the following behavioral health specialists: • Psychiatrists; • Licensed independent clinical psychologists; • Clinical social workers (licensed or certified at the independent practice level); • Licensed nurse clinicians (with a master’s degree in nursing and certification by the XXX as a clinical specialist in psychiatric and mental health nursing); • Licensed mental health counselor; and • Licensed marriage and family therapists. The above providers must be licensed and certified in the state where you receive the service. The above providers must meet our credentialing criteria to be considered for benefit coverage. Covered substance abuse services include medically necessary individual evaluation and psychotherapy, group psychotherapy, and family therapy when rendered by a behavioral health specialist, as listed above. This agreement does NOT cover the following substance abuse treatment services: • Recreation therapy, non-medical self-care, or self-help training (e.g. Alcoholics Anonymous (AA), Narcotics Anonymous (NA) meetings/services); • Telephone consultations (See Section 4.16); • Therapeutic recreation programs, extended stay/long term residential or wilderness programs; • Services provided in any covered program that are reviewed by us and we decide are recreation therapy programs, wilderness programs, educational programs, complimentary programs, or non-clinical services (examples of services that are not covered include, but is not limited to, Tai Chi, yoga, personal training, meditation, and internet based support/education); • Computer based/internet/social media services and/or programs. This agreement does NOT cover substance abuse treatment when: • the provider does NOT meet our eligibility and/or credentialing requirements; • the program is not approved by us for benefit coverage; or • treatment is rendered at facilities that are not approved and/or licensed by the state in which the facility is located. See Section 4.6 for Facilities We Have Not Approved and Section 4.8 for People/Facilities Who Are Not Legally Qualified or Licensed.

Child and Family Intensive Treatment. (CFIT) – This agreement covers child and family intensive treatment services that are approved by us and meets our criteria for participation and program requirements. The program is primarily based in the home for qualifying children with moderate to severe substance abuse conditions. CFIT benefits are available only for covered dependent children until their nineteenth (19th) birthday. This agreement covers services for the treatment of substance abuse for individuals and family members covered under this agreement. The services may be rendered in a provider’s office or in your home. This agreement covers the following behavioral health specialists: • Psychiatrists; • Licensed independent clinical psychologists; • Clinical social workers (licensed or certified at the independent practice level); • Licensed nurse clinicians (with a master’s degree in nursing and certification by the XXX ANA as a clinical specialist in psychiatric and mental health nursing); • Licensed mental health counselor; and • Licensed marriage and family therapists. The above providers must be licensed and certified in the state where you receive the service. The above providers must meet our credentialing criteria to be considered for benefit coverage. Covered substance abuse services include medically necessary individual evaluation and psychotherapy, group psychotherapy, and family therapy when rendered by a behavioral health specialist, as listed above. This agreement does NOT cover the following substance abuse treatment services: • Recreation therapy, non-medical self-care, or self-help training (e.g. Alcoholics Anonymous (AA), Narcotics Anonymous (NA) meetings/services); • Telephone consultations (See Section 4.16); • Therapeutic recreation programs, extended stay/long term residential or wilderness programs; • Services provided in any covered program that are reviewed by us and we decide are recreation therapy programs, wilderness programs, educational programs, complimentary programs, or non-clinical services (examples of services that are not covered include, but is not limited to, Tai Chi, yoga, personal training, meditation, and internet based support/education); • Computer based/internet/social internet /social media services and/or programs. This agreement does NOT cover substance abuse treatment when: • the provider does NOT meet our eligibility and/or credentialing requirements; • the program is not approved by us for benefit coverage; or • treatment is rendered at facilities that are not approved and/or licensed by the state in which the facility is located. See Section 4.6 for Facilities We Have Not Approved and Section 4.8 for People/Facilities Who Are Not Legally Qualified or Licensed.

Child and Family Intensive Treatment. (CFIT) – This agreement covers child and family intensive treatment services that are approved by us and meets our criteria for participation and program requirements. The program is primarily based in the home for qualifying children with moderate to severe substance abuse conditions. CFIT benefits are available only for covered dependent children until their nineteenth (19th) birthday. This agreement covers services for the treatment of substance abuse for individuals and family members covered under this agreement. The services may be rendered in a provider’s office or in your home. This agreement covers the following behavioral health specialists: • Psychiatrists; • Licensed independent clinical psychologists; • Clinical social workers (licensed or certified at the independent practice level); • Licensed nurse clinicians (with a master’s degree in nursing and certification by the XXX as a clinical specialist in psychiatric and mental health nursing); • Licensed mental health counselor; and • Licensed marriage and family therapists. The above providers must be licensed and certified in the state where you receive the service. The above providers must meet our credentialing criteria to be considered for benefit coverage. Covered substance abuse services include medically necessary individual evaluation and psychotherapy, group psychotherapy, and family therapy when rendered by a behavioral health specialist, as listed above. This agreement does NOT cover the following substance abuse treatment services: • Recreation therapy, non-medical self-care, or self-help training (e.g. Alcoholics Anonymous (AA), Narcotics Anonymous (NA) meetings/services); • Telephone consultations (See Section 4.16); • Therapeutic recreation programs, extended stay/long term residential or wilderness programs; • Services provided in any covered program that are reviewed by us and we decide are recreation therapy programs, wilderness programs, educational programs, complimentary programs, or non-clinical services (examples of services that are not covered include, but is not limited to, Tai Chi, yoga, personal training, meditation, and internet based support/education); • Computer based/internet/social internet /social media services and/or programs. This agreement does NOT cover substance abuse treatment when: • the provider does NOT meet our eligibility and/or credentialing requirements; • the program is not approved by us for benefit coverage; or • treatment is rendered at facilities that are not approved and/or licensed by the state in which the facility is located. See Section 4.6 for Facilities We Have Not Approved and Section 4.8 for People/Facilities Who Are Not Legally Qualified or Licensed.