Sec. 1355.055. DETERMINATIONS FOR TREATMENT IN A RESIDENTIAL TREATMENT CENTER FOR CHILDREN AND ADOLESCENTS. (a) Treatment in a residential treatment center for children and adolescents must be determined as if necessary care and treatment were inpatient care and treatment in a hospital.
(b) For the purposes of determining policy benefits and benefit maximums, each two days of treatment in a residential treatment center for children and adolescents is the equivalent of one day of treatment of mental or emotional illness or disorder in a hospital or inpatient program.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle E - Benefits Payable Under Health Coverages
Chapter 1355 - Benefits for Certain Mental Disorders
Subchapter B. Alternative Mental Health Treatment Benefits
Section 1355.052. Applicability of Subchapter
Section 1355.053. Required Coverage for Certain Illnesses and Disorders
Section 1355.054. Conditions for Coverage
Section 1355.056. Determinations for Treatment by a Crisis Stabilization Unit
Section 1355.057. Review and Adjustment of Minimum Ratios of Reimbursement
Section 1355.058. Assistance of the Texas Department of Mental Health and Mental Retardation