RCW 48.44.340
Mental health treatment, optional
supplemental coverage -- Waiver. (Effective until January 1,
2008.)
(1) For groups not covered by RCW 48.44.341, each health
care service contractor providing hospital or medical services or
benefits in this state under group contracts for health care
services under this chapter which are issued, delivered, or
renewed in this state shall offer optional supplemental coverage
for mental health treatment for the insured and the insured's
covered dependents.
(2) Benefits shall be provided under the optional
supplemental coverage for mental health treatment whether
treatment is rendered by: (a) A licensed mental health provider
regulated under chapter 18.57, 18.71, 18.79, 18.83, or 18.225 RCW; (b) a community mental health agency licensed by the
department of social and health services pursuant to chapter 71.24 RCW; or (c) a state hospital as defined in RCW 72.23.010.
The treatment shall be covered at the usual and customary rates
for such treatment. The health care service contractor providing
optional coverage under the provisions of this section for mental
health services may establish separate usual and customary rates
for services rendered by the different categories of providers
listed in (a) through (c) of this subsection. However, the
treatment may be subject to contract provisions with respect to
reasonable deductible amounts or copayments. In order to qualify
for coverage under this section, a licensed community mental
health agency shall have in effect a plan for quality assurance
and peer review, and the treatment shall be supervised by one of
the categories of providers listed in (a) of this subsection.
(3) For groups not covered by RCW 48.44.341, the group
contract for health care services may provide that all the
coverage for mental health treatment is waived for all covered
members if the contract holder so states in advance in writing to
the health care service contractor.
(4) This section shall not apply to a group health care
service contract that has been entered into in accordance with a
collective bargaining agreement between management and labor
representatives prior to March 1, 1987.
[2005 c 6 § 8; 1987 c 283 § 4; 1986 c 184 § 3; 1983 c 35 § 2.]
NOTES:
Findings -- Intent -- Severability -- 2005 c 6: See notes following RCW 41.05.600.
Severability -- Savings -- 1987 c 283: See notes following RCW 43.20A.020.
Legislative intent -- Effective date -- Severability -- 1986 c 184: See notes following RCW 48.21.240.
Effective date -- Severability -- 1983 c 35: See notes following RCW 48.21.240.