Sec. 1355.056. DETERMINATIONS FOR TREATMENT BY A CRISIS STABILIZATION UNIT. (a) Treatment by a crisis stabilization unit must be determined as if necessary care and treatment were inpatient care and treatment in a hospital.
(b) For the purposes of determining plan benefits and benefit maximums, each two days of treatment in a crisis stabilization unit is the equivalent of one day of treatment of mental or emotional illness or disorder in a hospital or inpatient program.
(c) Treatment provided to an individual by a crisis stabilization unit licensed or certified by the Texas Department of Mental Health and Mental Retardation shall be reimbursed.
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