Mental Health Requirement 42 USC Plan must "mental health and substance use disorder and Substance for MH/SUD §18021 services, including behavioral health treatment" substantially Use Disorder Coverage (a)(1)(B); equal to the base-benchmark plan. For determining a plan's (MH/SUD) 42 USC actuarial value, an issuer must classify as mental health and Services, §18022 substance use disorder services, including behavioral health Including (b)(1)(E); treatment, medically necessary care, treatment and services for Behavioral WAC mental health conditions and substance use disorders categorized Health in the most recent version of the Diagnostic and Statistical Manual Treatment of Mental Disorders (DSM), including behavioral health treatment for those conditions. (EHB) Mental Health Required Plan must include the following services, which are specifically and Substance Mental Health covered by the base-benchmark plan, and classify them as mental Use Disorder and Substance health and substance use disorder services, including behavioral (MH/SUD) Use Disorder health treatment: Services, WAC Services Inpatient, residential, and outpatient mental health and Including substance use disorder treatment, including diagnosis, partial Behavioral hospital programs or inpatient services; Health (5)(a)(ii) Chemical dependency detoxification; Treatment (5)(a)(iii) Behavioral treatment for a DSM category diagnosis; (EHB) (5)(a)(iv) Services provided by a licensed behavioral health provider for a (Cont’d) covered diagnosis in a skilled nursing facility; (5)(a)(v) Prescription medication including medications prescribed during an inpatient and residential course of treatment; (5)(a)(vi) Acupuncture treatment visits without application of the visit limitation requirements, when provided for chemical dependency;
Mental Health and Substance Use Disorder (MH/SUD) Services, Including Behavioral Health Treatment (EHB) Mental Health and Substance Use Disorder (MH/SUD) Services, Including Behavioral Health Treatment (EHB) (Cont’d) Requirement for MH/SUD Coverage 42 USC §18021 (a)(1)(B); 42 USC §18022 (b)(1)(E); WAC Plan must "mental health and substance use disorder services, including behavioral health treatment" substantially equal to the base-benchmark plan. For determining a plan's actuarial value, an issuer must classify as mental health and substance use disorder services, including behavioral health treatment, medically necessary care, treatment and services for mental health conditions and substance use disorders categorized in the most recent version of the Diagnostic and Statistical Manual of Mental Disorders (DSM), including behavioral health treatment for those conditions. Required Mental Health and Substance Use Disorder Plan must include the following services, which are specifically covered by the base-benchmark plan, and classify them as mental health and substance use disorder services, including behavioral health treatment: Services WAC Inpatient, residential, and outpatient mental health and substance use disorder treatment, including diagnosis, partial hospital programs or inpatient services; (5)(a)(ii) Chemical dependency detoxification; (5)(a)(iii) Behavioral treatment for a DSM category diagnosis; (5)(a)(iv) Services provided by a licensed behavioral health provider for a covered diagnosis in a skilled nursing facility; (5)(a)(v) Prescription medication including medications prescribed during an inpatient and residential course of treatment; (5)(a)(vi) Acupuncture treatment visits without application of the visit limitation requirements, when provided for chemical dependency;