Code of Maine Rules
02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
031 - BUREAU OF INSURANCE
Chapter 320 - MINIMUM STANDARDS FOR ALCOHOLISM AND DRUG DEPENDENCY BENEFITS
Section 031-320-5 - Policies subject to parity requirements
Current through 2024-38, September 18, 2024
A. Pursuant to Title 24 M.R.S.A., Section2325-A(5-C) and Title 24-A M.R.S.A., Section2843(5-C), all group contracts subject to this Rule, except to the extent they cover employees of employers with 20 or fewer employees, must provide the same level of benefits for the treatment of substance abuse-related disorders as for treatment of physical illnesses.
B. With respect to residential treatment, the benefit level must be at least the greater of:
This subsection applies only to residential treatment as defined by 24-A M.R.S.A. Section2842(2)(B) that does not also meet the definition of "inpatient services" in 24-A M.R.S.A. Section2843(3)(B). Inpatient services must be covered at the same benefit level as for physical illnesses.