Mental Health or Substance Abuse Providers Sample Clauses

Mental Health or Substance Abuse Providers. The HMO must have a mental health and substance abuse provider within a 35 mile travel distance from any member residing in the HMO service area or no further than the distance for non-enrolled members residing in the service area. If there is no certified provider within the specified distance, the travel distance shall be no more than for a non-enrolled member. The HMO must also consider whether the providers accept new patients, and whether full or part-time coverage is available.
Sample 1
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Mental Health or Substance Abuse Providers a. The PIHP must have a mental health and substance abuse provider within a 35 mile travel distance from any member residing in the PIHP service area or no further than the distance for non-enrolled members residing in the service area. If there is no certified provider within the specified distance, the travel distance shall be no more than for a non-enrolled member. The PIHP must also consider whether the providers accept new patients, and whether full or part-time coverage is available.
Sample 1
Mental Health or Substance Abuse Providers a. For the purpose of provider network review, the Department analyzes the following mental health or substance abuse provider specialties codes:  112 – Licensed Psychologist (PhD)  117 – Psychiatric Nurse  120 – Licensed Psychotherapist  122 – Alcohol and Other Drug Abuse Counselor  123 – Certified Psychotherapist with SAC  124 – Certified Psychotherapist  126 – Qualified Treatment Trainee  339 - Psychiatry  532 – Registered Alcohol and Drug Counselor (RADC)/NTS  740 – Mental Health
Sample 1
Mental Health or Substance Abuse Providers. For the purpose of provider network review, the Department analyses the following mental health or substance abuse provider specialties codes: • 112 – Licensed Psychologist (PhD) • 117 – Psychiatric Nurse • 120 – Licensed Psychotherapist • 122 – Alcohol and Other Drug Abuse Counselor • 123 – Certified Psychotherapist with SAC • 124 – Certified Psychotherapist • 126 – Qualified Treatment Trainee • 339 - Psychiatry • 532 – Registered Alcohol and Drug Counselor (RADC)/NTS • 740 – Mental Health The HMO must have a mental health and substance abuse provider (including access to qualified treatment trainees) within a 35 mile travel distance from any member residing in the HMO service area or no further than the distance for non-enrolled members residing in the service area. If there is no enrolled provider within the specified distance, the travel distance shall be no more than for a non-enrolled member. The HMO must also consider whether the providers accept new patients, and whether full or part-time coverage is available. For HMOs serving Regions 5 and 6, the HMO must maintain a Provider- to-Member Ratio of no greater than 1:900 for Psychiatry (provider specialty code 339) and 1:900 for Psychology (provider specialty code 112).
Sample 1

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