Common use of Court-Ordered Services Clause in Contracts

Court-Ordered Services. PIC covers mental health evaluations and treatment ordered by a Minnesota court under a valid court order when the services ordered are covered under this contract and: a. The court-ordered behavioral care evaluation is performed by a participating provider and the provider is a licensed psychiatrist, or doctoral level licensed psychologist. b. The treatment is provided by a participating provider or another provider as required by rule or law and is based on a behavioral care evaluation that meets the criteria of a. above and includes a diagnosis and an individual treatment plan for care in the most appropriate and least restrictive environment. PIC must receive a copy of any court order and evaluation. PIC or its designee may make a motion to modify a court ordered plan and may request a new behavioral care evaluation.

Appears in 6 contracts

Samples: Health Insurance Contract, Health Insurance Contract, Health Insurance Contract

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Court-Ordered Services. PIC covers mental health evaluations and treatment ordered by a Minnesota court under a valid court order when the services ordered are covered under this contract and: a. The court-ordered behavioral care evaluation is performed by a participating provider and the provider is a licensed psychiatrist, or doctoral level licensed psychologist. b. The treatment is provided by a participating provider or another provider as required by rule or of law and is based on a behavioral care evaluation that meets the criteria of a. above and includes a diagnosis and an individual treatment plan for care in the most appropriate and least restrictive environment. PIC must receive a copy of any court order and evaluation. PIC or its designee may make a motion to modify a court ordered plan and may request a new behavioral care evaluation.

Appears in 1 contract

Samples: Health Insurance Contract

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