Start State laws mandating or regulating mental health benefits

State laws mandating or regulating mental health benefits

However, as will be outlined in this toolkit, there are still gaps in mental health and substance abuse parity and the principles of the policy statement are still relevant.

Treatment includes: behavioral health treatment; pharmacy care; psychiatric care; psychological care; therapeutic care (including services provided by a speech, occupational, or physical therapists or an aide or assistant under their supervision); items and equipment necessary to provide, receive, or advance in the above listed services, including those necessary for applied behavioral analysis; and any care for individuals with autism spectrum disorders that is determined by the Secretary of the Department of Health and Social Services, based upon their review of best practices and/or evidence-based research, to be medically necessary. Coverage for benefits for any covered person diagnosed with one or more autism spectrum disorders and whose age is between birth and less than seven years shall not exceed $36,000 per year. All health benefit plans in the individual and small group market shall provide coverage for pharmacy care, if covered by the plan: psychiatric care; psychological care; therapeutic care (includes services provided by licensed speech therapists, occupational therapists, or physical therapists); applied behavior analysis; habilitative and rehabilitative care. Treatment includes: habilitative or rehabilitative care; pharmacy care; psychiatric care; psychological care; therapeutic care (including services provided by licensed or certified speech therapists, occupational therapists, or physical therapists licensed or certified in this state), provided the care prescribed, provided, or ordered for an individual diagnosed with one of the autism spectrum disorders by a physician or psychologist who shall be licensed in this state and who shall supervise provision of such care. Treatment includes: habilitative or rehabilitative services, including applied behavior analysis or other professional or counseling services; counseling services provided by a licensed psychiatrist, psychologist, clinical professional counselor or clinical social worker; and therapy services provided by a licensed or certified speech therapist, occupational therapist or physical therapist.

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