Same Provider Network

4 CMC § 7809 — under Mental Health & Behavioral Health Coverage.

4 CMC § 7809

TITLE 4: ECONOMIC RESOURCES DIVISION 7: INSURANCE

§ 7809. Same Provider Network. A health insurance issuer may not limit coverage of mental and/or behavioral health services by telehealth to only those providers who are members of the health benefit plan’s telehealth narrow network. A health benefit plan must cover telehealth mental and/or behavioral health services provided by an out-of-network provider to the same extent that the services would be covered if delivered by an outof-network provider by an in-person encounter. Source: PL 23-13, § 2 (Nov. 22, 2023). Commission Comment: Legislative Findings.—For Findings and Purposes of PL 23-13, see Commission comment to 4 CMC § 7801.