R270-1-19. Prescription or Over-the-Counter Medications

(1) The office shall only consider reimbursement of prescription or over-the-counter medications or medication management services used in conjunction with mental health therapy while an approved Mental Health Treatment Plan is in effect. (2) The office shall only consider reimbursement of prescription or over-the-counter medications used in conjunction with medical treatment while the victim is being treated by the physician. (3) The office shall limit payments for medication management rates to a maximum of $62.50 per 30 minute session. (4)(a) The office shall pay the amount that would be paid by PEHP for prescription medications dispensed by a pharmacy, not including those included in Section R270-1-24. (b) If PEHP does not have a fee schedule, the office will pay the amount the victim is obligated to pay that is not reimbursed by insurance.