Common use of Mental Health and Chemical Dependence Stop-Loss Clause in Contracts

Mental Health and Chemical Dependence Stop-Loss. a) The Contractor will be compensated for medically necessary and clinically appropriate Medicaid reimbursable mental health treatment outpatient visits in excess of twenty (20) visits during any calendar year at rates set forth in contracted fee schedules. Any Court Ordered Services for mental health treatment outpatient visits which specify the use of Non- Participating Providers shall be compensated at the Medicaid rate of payment.

Mental Health and Chemical Dependence Stop-Loss. a) The Contractor will be compensated for medically necessary and clinically appropriate Medicaid reimbursable mental health treatment outpatient visits in excess of twenty (20) visits during any calendar year at rates set forth in contracted fee schedules. Any Court Ordered Services for mental health treatment outpatient visits which specify the use of Non- Non-Participating Providers shall be compensated at the Medicaid rate of payment.