166 chapters · 2,034 sections in this title.
R.I. Gen. Laws § 27-38.2-1. Coverage for treatment of mental health and substance use disorders
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(a) A group health plan and an individual or group health insurance plan shall provide coverage for the treatment of mental health and substance use disorders under the same terms and conditions as that coverage is provided for other illnesses and diseases. (b) Coverage for the t…
R.I. Gen. Laws § 27-38.2-2. Definitions
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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. …
R.I. Gen. Laws § 27-38.2-3. Medical necessity and appropriateness of treatment
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(a) Upon request of the reimbursing health insurers, all providers of treatment of mental illness shall furnish medical records or other necessary data that substantiates that initial or continued treatment is at all times medically necessary and appropriate. When the provider ca…
R.I. Gen. Laws § 27-38.2-4. Network coverage
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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 pro…