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Home » US Law » 2022 Rhode Island General Laws » Title 27 - Insurance » Chapter 27-38.2 - Insurance Coverage for Mental Illness and Substance Abuse

Section 27-38.2-2. – Definitions.

§ 27-38.2-2. Definitions. For the purposes of this chapter, the following words and terms have the following meanings: (1) “Financial requirements” means deductibles, copayments, coinsurance, or out-of-pocket maximums. (2) “Group health plan” means an employee welfare benefit plan as defined in 29 U.S.C. § 1002(1) to the extent that the plan provides health benefits to […]

Section 27-38.2-3. – Medical necessity and appropriateness of treatment.

§ 27-38.2-3. Medical necessity and appropriateness of treatment. (a) Upon request of the reimbursing health insurers, all providers of treatment of mental illness shall furnish medical records or other necessary data which substantiates that initial or continued treatment is at all times medically necessary and appropriate. When the provider cannot establish the medical necessity and/or […]

Section 27-38.2-4. – Network coverage.

§ 27-38.2-4. Network coverage. The healthcare benefits outlined in this chapter apply only to services delivered within the health insurer’s provider network; provided, that all health insurers shall be required to provide coverage for those benefits mandated by this chapter outside of the health insurer’s provider network where it can be established that the required […]

Section 27-38.2-5. – Repealed.

§ 27-38.2-5. Repealed. History of Section.P.L. 2001, ch. 174, § 3; P.L. 2001, ch. 409, § 3; Repealed by P.L. 2014, ch. 108, § 2, effective June 16, 2014; P.L. 2014, ch. 130, § 2, effective June 16, 2014.

Section 27-38.2-6. – Infant and early childhood mental wellness task force.

§ 27-38.2-6. Infant and early childhood mental wellness task force. (a) The general assembly hereby finds that: (1) Infant and early childhood mental health is defined by Zero to Three as “the developing capacity of the child from birth to five (5) years of age to: form close and secure adult and peer relationships, experience, […]