ARM 37.79.316

ARM 37.79.316. MENTAL HEALTH BENEFITS

SupersededLast amended: 2004Length: 166 wordsOfficial source

Cite as Mont. Admin. R. 37.79.316

(1) Mental health benefits include: (a) inpatient services furnished by public or private licensed and qualified practioners in a hospital, including a state-operated mental hospital, a residential service or a partial hospitalization program; and (b) outpatient services furnished by public or private licensed and qualified practitioners in a community based setting or in a mental hospital. (2) Mental health benefits are limited to: (a) 21 days of inpatient mental health care per benefit year; (b) partial hospitalization benefits which are exchanged for inpatient days at a rate of two partial treatment days for one inpatient day; or (c) 20 outpatient visits per year which can be furnished in community based settings or in a mental hospital. (3) Mental health benefits will not be limited for enrollees with the following disorders: (a) schizophrenia; (b) schizoaffective disorder; (c) bipolar disorder; (d) major depression; (e) panic disorder; (f) obsessive-compulsive disorder; and (g) autism. (4) Mental health benefits shall be provided at least to the extent required by state law.
ARM 37.79.316: ARM 37.79.316. MENTAL HEALTH BENEFITS | Justis AI