Common use of Substance Use Disorder Residential Treatment Facility Clause in Contracts

Substance Use Disorder Residential Treatment Facility. This agreement covers medically necessary services at an Acute Rehabilitation or Acute Substance Use Disorder Residential facility when reviewed by us and we decide that, at a minimum, the following program criteria have been met: • facility must be licensed as a Substance Use Disorder Residential Treatment facility by the state in which it is located. • if the state in which the facility is located, does not license such facilities, BCBSRI will review and determine if the residential program otherwise meets the credentialing requirements; • facility must have a licensed physician who has twenty-four (24) hour, seven (7) day a week availability to meet emergent and urgent needs of individuals receiving care; and • the program structure includes therapeutic treatment a minimum of 6 hours per day, Monday through Friday, and 4 hours per day on weekends. Please note that recreational and educational activities do not count towards these hour requirements.

Substance Use Disorder Residential Treatment Facility. This agreement covers medically necessary services at an Acute Rehabilitation or Acute Substance Use Disorder Residential facility when reviewed by us and we decide that, at a minimum, the following program criteria have criterion has been met: •  facility must be licensed as a Substance Use Disorder Residential Treatment facility by provider in the state or in which the state where it is located. •  if the provider’s state in which the facility is located, does not license such facilitiesoffer licensing, BCBSRI will review and determine if the residential facility program otherwise meets the credentialing requirements; •  facility must have a licensed physician who has twenty-four (24) hour, seven (7) day a week availability to meet emergent and urgent needs of individuals receiving care; and •  the program structure includes therapeutic treatment a minimum of 6 hours per day, Monday through Friday, and 4 hours per day on weekends. Please note that recreational and educational activities do not count towards these hour requirements.

Substance Use Disorder Residential Treatment Facility. This agreement covers medically necessary services at an Acute Rehabilitation or Acute Substance Use Disorder Residential Treatment facility when reviewed by us and we decide that, at a minimum, the following program criteria have been met: • facility must be licensed as a Substance Use Disorder Residential Treatment facility by the state in which it is located. • if the state in which the facility is located, located does not license such facilities, BCBSRI will review and determine if the residential program otherwise meets the credentialing requirements; • facility must have a licensed physician who has twenty-four (24) hour, seven (7) day a week availability to meet emergent and urgent needs of individuals receiving care; and • the program structure includes therapeutic treatment a minimum of 6 hours per day, Monday through Friday, and 4 hours per day on weekends. Please note that recreational and educational activities do not count towards these hour requirements.