Checkout our iOS App for a better way to browser and research.
(1) As used in this section, "local education agency" means:
(a) a school district;
(b) a charter school; or
(c) the Utah Schools for the Deaf and the Blind.
(2) A health benefit plan that is entered into or renewed on or after January 1, 2020, may not deny a claim for a covered mental health service solely because the mental health service is provided:
(a) at a local education agency building or facility; or
(b) by an employee or contractor of a local education agency.
(3) Nothing in this section:
(a) prohibits a health benefit plan from denying a claim:
(i) by an individual that is not a licensed health care provider;
(ii) by a health care provider practicing outside the health care provider's scope of practice;
(iii) that is submitted by a person that is not a network provider;
(iv) for a mental health service that is not medically necessary as determined by the health benefit plan; or
(v) that does not otherwise comply with the health benefit plan's policies; or
(b) requires a health benefit plan to pay a claim for a service that is:
(i) provided under an individualized education program as defined in Section 53E-4-301; or
(ii) administrative in nature to the local education agency.
Technically renumbered to avoid duplication of section number used in SB 264, Chapter 439