59A-46-66: Prohibited exclusions of coverage for mental health or substance use disorder services.

A carrier shall not exclude provider prescribed coverage for mental health or substance use disorder services otherwise included in its coverage when:

A. it is available pursuant to federal or state law for individuals with disabilities;

B. it is otherwise ordered by a court or administrative agency;

C. it is available to an enrollee through a public benefit program; or

D. an enrollee has a concurrent diagnosis.