Common use of Substance Use Disorder Treatment by the Department of Corrections Clause in Contracts

Substance Use Disorder Treatment by the Department of Corrections. PIC covers substance use disorder treatment provided by the Department of Corrections while you are committed to the custody of the Department of Corrections following a conviction for first-degree driving while impaired offense under Minnesota Statute §169A.24 when the health care services ordered are covered services under this contract and: a. A court of competent jurisdiction makes a preliminary determination based on a chemical use assessment that treatment may be appropriate and includes this determination as part of the sentencing order; and b. The Department of Corrections makes a determination based on a chemical assessment conducted while you are in the custody of the department that treatment is appropriate. Substance use disorder treatment provided by the Department of Corrections that meets the above requirements is not subject to a separate medical necessity determination by PIC. However, XXX must receive a copy of the court's preliminary determination and supporting documents and the assessment conducted by the Department of Corrections. The PIC non-participating provider reimbursement value for treatment provided by the Department of Corrections shall not exceed the lowest rate for outpatient chemical dependency treatment paid by PIC to a participating provider.