Limitation On Coverage

Sec. 1368.006. LIMITATION ON COVERAGE. (a) In this section, "treatment series" means a planned, structured, and organized program to promote chemical-free status that: (1) may include different facilities or modalities; and (2) is completed when the covered individual: (A) is, on medical advice, discharged from: (i) inpatient detoxification; (ii) inpatient rehabilitation or treatment; (iii) partial hospitalization or intensive outpatient treatment; or (iv) a series of those levels of treatments without a lapse in treatment; or (B) fails to materially comply with the treatment program for a period of 30 days. (b) Notwithstanding Section 1368.005, coverage required under this chapter is limited to a lifetime maximum of three separate treatment series for each covered individual. Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.