WILLIAM DONALD SCHAEFER, Governor                            Ch. 3

treatment of acute mental illnesses and emotional disorders which in the professional
judgment of practitioners are subject to significant improvement through short-term
therapy. These benefits must be at least equal to the following minimum requirements:

(3) [(i)] With respect to benefits for residency in a Department of Health
and Mental Hygiene approved psychiatric halfway house[, the]:

(I) THE period of residency for which benefits are payable shall be at
least 120 days and shall be at a rate which is not less than 75 percent of the per diem rate
which amount may not exceed $30 per day;

(ii) Justification for length of stay shall be documented by a qualified
psychiatrist or psychologist based on a monthly evaluation of the patient which is
available to the nonprofit health service plan at their request;

(iii) The nonprofit health service plan, as a condition precedent to the
allowance for benefits for residency in a psychiatric halfway house, may require the
certification in writing by a licensed psychiatrist or psychologist that residency in a
psychiatric halfway house is medically necessary either in lieu of or in combination with
confinement as an inpatient in a hospital and will reduce the length of confinement as an
inpatient in a hospital; AND

(iv) The total benefits payable for treatment as an inpatient in a
hospital or residency in a psychiatric halfway house or a combination of both may not
exceed the cost of benefits available annually for treatment as an inpatient in a hospital.

DRAFTER'S NOTE:

Error: Stylistic error and omitted conjunction in Article 48A, § 354D(a)(3).

Occurred: Ch. 587, Acts of 1988. Partial correction of Article 48A, §
354D(a)(3) by the Michie Company is also validated by this Act.

358.

(a) The Commissioner, or any examiner or examiners of the Insurance
[Department] ADMINISTRATION, shall have the power of visitation and examination
into the affairs of any:

(1)     Corporation licensed under this subtitle; and

(2)      [Any affiliate] AFFILIATE or subsidiary of a corporation licensed under
this subtitle.

DRAFTER'S NOTE:

Error: Obsolete reference to the Insurance Administration and extraneous
article in Article 48A, § 358(a).

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