Current through the 2024 Fourth Special Session
Section 31A-22-652 - Coverage for mental health services in schools(1) As used in this section, "local education agency" means: (c) the Utah Schools for the Deaf and the Blind.(2) A health benefit plan that is entered into or renewed on or after January 1, 2020, may not deny a claim for a covered mental health service solely because the mental health service is provided:(a) at a local education agency building or facility; or(b) by an employee or contractor of a local education agency.(3) Nothing in this section:(a) prohibits a health benefit plan from denying a claim: (i) by an individual that is not a licensed health care provider;(ii) by a health care provider practicing outside the health care provider's scope of practice;(iii) that is submitted by a person that is not a network provider;(iv) for a mental health service that is not medically necessary as determined by the health benefit plan; or(v) that does not otherwise comply with the health benefit plan's policies; or(b) requires a health benefit plan to pay a claim for a service that is:(i) provided under an individualized education program as defined in Section 53E-4-301; or(ii) administrative in nature to the local education agency.Added by Chapter 172, 2019 General Session ,§ 2, eff. 5/14/2019.Technically renumbered to avoid duplication of section number used in SB 264, Chapter 439