Alcohol and drug dependency treatment.

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  • (1) A managed care organization offering a health benefit plan providing coverage for alcohol or drug dependency treatment may require an inpatient facility to be licensed by:
    • (a)
      • (i) the Department of Human Services, under Title 62A, Chapter 2, Licensure of Programs and Facilities; or
      • (ii) the Department of Health; or
    • (b) for an inpatient facility located outside the state, a state agency similar to one described in Subsection (1)(a).
  • (2) For inpatient coverage provided pursuant to Subsection (1), a managed care organization may require an inpatient facility to be accredited by the following:
    • (a) the Joint Commission; and
    • (b) one other nationally recognized accrediting agency.




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