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

Mental Health and Substance Use Disorder Benefits. Blue Shield’s Mental Health Service Administrator (MHSA) arranges and administers Mental Health and Substance Use Disorder Services for Blue Shield Members within California. All non-emer- gency inpatient Mental Health and Substance Use Disorder Services, including Residential Care, and Other Outpatient Mental Health and Substance Use Disorder Services must be prior authorized by the MHSA. Benefits are provided for professional office visits for the diagnosis and treatment of Mental Health and Substance Use Disorder Conditions in the indi- vidual, Family or group setting. Benefits are provided for Outpatient Facility and professional services for the diagnosis and treat- ment of Mental Health and Substance Use Disor- der Conditions. These services may also be provided in the office, home or other non-institutional setting. Other Outpatient Mental Health and Substance Use Disorder Services include, but may not be limited to the following: