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Current as of May 05, 2022 | Updated by FindLaw Staff
(1) As used in this section, “local education agency” means:
(a) a school district;
(b) a charter school; or
(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.
Cite this article: FindLaw.com - Utah Code Title 31A. Insurance Code § 31A-22-652. Coverage for mental health services in schools - last updated May 05, 2022 | https://codes.findlaw.com/ut/title-31a-insurance-code/ut-code-sect-31a-22-652/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature or via Westlaw before relying on it for your legal needs.
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