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 Disorders. An established plan of treatment may be required. This includes Inpatient (Inpatient and Residential Treatment), and Outpatient (Outpatient 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: 1. Supervised by a licensed Physician, licensed psychologist, or licensed clinical social worker; and 2. 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: 1. Applied behavioral health services; 2. Room and board, including general nursing for inpatients; 3. Prescription drugs, biologicals, and solutions administered to inpatients; 4. Supplies and use of equipment required for medical withdrawal monitoring and management; 5. Diagnostic and evaluation services; 6. Intervention and assessment; 7. Facility‐based professional and ancillary services; 8. Individual, group, couple and/or family psychotherapy and professional counseling services; 9. Medication checks; 10. Individual or group alcohol and drug counseling services; 11. Psychological and Neuropsychological testing; 12. Emergency treatment for the sudden onset of a mental health or substance use condition requiring immediate and acute treatment. Outpatient visits for substance use disorder conditions may be furnished during the acute withdrawal management stage of treatment or during stages of early recovery and maintenance. .

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 Disorders. An established plan of treatment may be required. This includes Inpatient (Inpatient and Residential Treatment)Inpatient, and Outpatient (Outpatient Outpatient, residential, and Day Treatment Program), 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:: SAMPLE 1. Supervised by a licensed Physician, licensed psychologist, or licensed clinical social worker; and 2. 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 Substance Use Disorder treatment services when Medically Necessary: 1. Applied behavioral health services; services 2. Room and board, including general nursing for inpatientsnursing; 3. Prescription drugs, biologicals, and solutions administered to inpatients; 4. Supplies and use of equipment required for medical withdrawal monitoring detoxification and managementrehabilitation; 5. Diagnostic and evaluation services; 6. Intervention and assessment; 7. Facility‐based Facility-based professional and ancillary services; 8. Individual, group, couple and/or and family psychotherapy therapy and professional counseling servicescounseling; 9. Medication checks; 10. Individual or group alcohol and drug counseling services; 11. Psychological and Neuropsychological testing;; and 1211. Emergency treatment for the sudden onset of a mental health or substance use Substance Use Disorder condition requiring immediate and acute treatment. Outpatient visits for substance use disorder Substance Use Disorder conditions may be furnished during the acute withdrawal management detoxification stage of treatment or during stages of early recovery and maintenancerehabilitation. The Member cost-sharing will be waived for the first outpatient office visit 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 Disorders. An established plan of treatment may be required. This includes Inpatient (Inpatient and Residential Treatment)incl udes Inpatient, and Outpatient (Outpatient Outpatient, and Day Treatment Program), 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 s ervices must be: 1. a. Supervised by a licensed Physician, licensed clinical psychologist, or licensed clinical social worker; and 2. b. Part of a plan of treatment for furnishing such services established by the appropriate staff member. The Plan provides Benefits for only the t he following mental health and substance use disorder Substance Use Disorder treatment services when Medically NecessaryNecessary : 1. a. Applied behavioral Behavioral health services; 2. services b. Room and board, including general nursing for inpatientsnursing; 3. c. Prescription drugs, biologicals, and solutions administered to inpatientsinpati ents; 4. d. Supplies and use of equipment required for medical withdrawal monitoring detoxification and managementrehabilitation; 5. e. Diagnostic and evaluation services; 6. f. Intervention and assessment; 7. Facility‐based g. Facility - based professional and ancillary services; 8. h. Individual, group, couple and/or and family psychotherapy therapy and professional counseling servicescounseling; 9. i. Medication checks; 10. Individual or group alcohol and drug counseling services; 11. j. Psychological and Neuropsychological testing;; and SAMPLE 12. k. Emergency treatment for the sudden onset of a mental health or substance use Substance Use Disorder condition requiring immediate and acute treatment. Outpatient visits for substance use disorder Substance Use Disorder conditions may be furnished during the acute withdrawal management detoxification stage of treatment or during stages of early recovery and maintenancerehabilitation. 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 Disorders. An established plan of treatment may be required. This includes Inpatient (Inpatient and Residential Treatment)Inpatient, and Outpatient (Outpatient Outpatient, and Day Treatment Program), 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: 1. Supervised by a licensed Physician, licensed clinical psychologist, or licensed clinical social worker; and 2. 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 Substance Use Disorder treatment services when Medically Necessary: 1. Applied behavioral health services; 2. Room and board, including general nursing for inpatientsnursing; 32. Prescription drugs, biologicals, and solutions administered to inpatients; 43. Supplies and use of equipment required for medical withdrawal monitoring detoxification and managementrehabilitation; 54. Diagnostic and evaluation services; 65. Intervention and assessment; 76. Facility‐based Facility-based professional and ancillary services; 87. Individual, group, couple and/or and family psychotherapy therapy and professional counseling servicescounseling; 98. Medication checks; 10. Individual or group alcohol and drug counseling services; 119. Psychological and Neuropsychological testing;; and 1210. Emergency treatment for the sudden onset of a mental health or substance use Substance Use Disorder condition requiring immediate and acute treatment. Outpatient visits for substance use disorder Substance Use Disorder conditions may be furnished during the acute withdrawal management detoxification stage of treatment or during stages of early recovery and maintenancerehabilitation. [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 Disorders. An established plan of treatment may be required. This includes Inpatient (Inpatient and Residential Treatment)Inpatient, and Outpatient (Outpatient Outpatient, residential, and Day Treatment Program), 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: 1. a. Supervised by a licensed Physician, licensed psychologist, or licensed clinical social worker; and 2. 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 Substance Use Disorder treatment services when Medically Necessary: 1. a. Applied behavioral Behavioral health services;, but not limited to electroconvulsive treatment (ECT), transcranial magnetic stimulation (TMS), assertive community team (ACT), Applied Behavioral Analysis (ABA), multi-systemic therapy and psychiatric supports (MST-Psychiatric),. Functional Family Therapy (FFT) and health behavior assessment intervention. 2. b. Room and board, including general nursing for inpatientsnursing; 3. c. Prescription drugs, biologicals, and solutions administered to inpatients; 4. d. Supplies and use of equipment required for medical withdrawal monitoring and management; 5. e. Diagnostic and evaluation services; 6. f. Intervention and assessment; 7. Facility‐based g. Facility-based professional and ancillary services; 8. h. Individual, group, couple and/or family psychotherapy and professional counseling services; 9. i. Medication checks; 10. j. Individual or group alcohol and drug counseling services; 11. k. Psychological and Neuropsychological testing;; and 12. l. Emergency treatment for the sudden onset of a mental health or substance use Substance Use Disorder condition requiring immediate and acute treatment. Outpatient visits for substance use disorder Substance Use Disorder conditions may be furnished during the acute withdrawal management detoxification stage of treatment or during stages of early recovery and maintenance. rehabilitation.

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 Disorders. An established plan of treatment may be required. This includes Inpatient (Inpatient and Residential Treatment)Inpatient, and Outpatient (Outpatient Outpatient, residential, and Day Treatment Program), 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: 1. Supervised by a licensed Physician, licensed psychologist, or licensed clinical social worker; and 2. 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 Substance Use Disorder treatment services when Medically Necessary: 1. Applied behavioral health services;, but not limited to electroconvulsive treatment (ECT), transcranial magnetic stimulation (TMS), assertive community team (ACT), Applied Behavioral Analysis (ABA), multi-systemic therapy and psychiatric supports (MST-Psychiatric),. Functional Family Therapy (FFT) and health behavior assessment intervention. 2. Room and board, including general nursing for inpatientsnursing; 3. Prescription drugs, biologicals, and solutions administered to inpatients; 4. Supplies and use of equipment required for medical withdrawal monitoring and management; 5. Diagnostic and evaluation services; 6. Intervention and assessment; 7. Facility‐based Facility-based professional and ancillary services; 8. Individual, group, couple and/or family psychotherapy and professional counseling services; 9. Medication checks; 10. Individual or group alcohol and drug counseling services; 11. Psychological and Neuropsychological testing;; and 12. Emergency treatment for the sudden onset of a mental health or substance use Substance Use Disorder condition requiring immediate and acute treatment. Outpatient visits for substance use disorder Substance Use Disorder conditions may be furnished during the acute withdrawal management detoxification stage of treatment or during stages of early recovery and maintenance. rehabilitation.

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 Disorders. An established plan of treatment may be required. This includes Inpatient (Inpatient and Residential Treatment), and Outpatient (Outpatient 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: 1. Supervised by a licensed Physician, licensed psychologist, or licensed clinical social worker; and 2. 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: 1. Applied behavioral health services; 2. Room and board, including general nursing for inpatientsInpatients; 3. Prescription drugs, biologicals, and solutions administered to inpatients; 4. Supplies and use of equipment required for medical withdrawal monitoring and management; 5. Diagnostic and evaluation services; 6. Intervention and assessment; 7. Facility‐based Facility-based professional and ancillary services; 8. Individual, group, couple and/or family psychotherapy and professional counseling services; 9. Medication checks; 10. Individual or group alcohol and drug counseling services; 11. Psychological and Neuropsychological testing; 12. Emergency treatment for the sudden onset of a mental health or substance use condition requiring immediate and acute treatment. Outpatient visits for substance use disorder conditions may be furnished during the acute withdrawal management stage of treatment or during stages of early recovery and maintenance. .

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 Disorders. An established plan of treatment may be required. This includes Inpatient (Inpatient and Residential Treatment), and Outpatient (Outpatient 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: 1. Supervised by a licensed Physician, licensed psychologist, or licensed clinical social worker; and 2. 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: 1. Applied behavioral health services; 2. Room and board, including general nursing for inpatientsInpatients; 3. Prescription drugs, biologicals, and solutions administered to inpatients; 4. Supplies and use of equipment required for medical withdrawal monitoring and management; 5. Diagnostic and evaluation services; 6. Intervention and assessment; 7. Facility‐based Facility-based professional and ancillary services; 8. Individual, group, couple and/or family psychotherapy and professional counseling services; 9. Medication checks; 10. Individual or group alcohol and drug counseling services; 11. Psychological and Neuropsychological testing; 12. Emergency treatment for the sudden onset of a mental health or substance use condition requiring immediate and acute treatment. Outpatient visits for substance use disorder conditions may be furnished during the acute withdrawal management stage of treatment or during stages of early recovery and maintenance. .