59A-47-61: Prohibited exclusions of coverage for mental health or substance use disorder services.

A health care plan 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 a subscriber through a public benefit program; or

D. a subscriber has a concurrent diagnosis.