Utah Code Title 31A. Insurance Code § 31A-22-658. Health care provider behavioral health treatment--Single case agreement

(a) “Mental health condition” means the same as that term is defined in Section 31A-22-649.5.

(b) “Mental health provider” means:

(c) “Mental health treatment” means treatment for a mental health condition.

(2)(a) Except as provided in Subsection (3), and subject to Subsections (4) and (5), beginning January 1, 2024, a health benefit plan that offers coverage for mental health treatment shall, upon request of a health benefit plan enrollee who is employed as a health care provider, offer a single case agreement that allows the enrollee to receive covered mental health treatment from an out-of-network mental health provider selected by the enrollee.

(b) A single case agreement described in Subsection (2)(a) shall:

(3)(a) Subsection (2) does not apply if:

(b) For purposes of this Subsection (3), the location where an enrollee works as a health care provider includes all locations or facilities of the enrollee's employer.

(a) shall be:

(b) may not be experimental.

(5)(a) An enrollee shall request a single case agreement under Subsection (2) prior to receiving mental health treatment from an out-of-network mental health provider.

(b) With a request for a single case agreement under Subsection (2), an enrollee shall provide information about where the enrollee works as a health care provider sufficient for the health benefit plan to determine whether the circumstances described in Subsection (3)(a)(i) exist.