Common use of Mental Health Service Administrator (MHSA Clause in Contracts

Mental Health Service Administrator (MHSA. The MHSA is a specialized health care service plan licensed by the California Department of Managed Health Care. Blue Shield contracts with the MHSA to underwrite and deliver Blue Shield’s Mental Health and Substance Use Disorder Ser- vices through a separate network of MHSA Partic- ipating Providers. Mental Health Services — services provided to treat a Mental Health Condition. MHSA Non-Participating Provider — a provider who does not have an agreement in effect with the MHSA for the provision of Mental Health or Substance Use Disorder Services. MHSA Participating Provider — a provider who has an agreement in effect with the MHSA for the provision of Mental Health or Substance Use Dis- order Services. Occupational Therapy — treatment under the di- rection of a Physician and provided by a certified occupational therapist or other appropriately li- censed Health Care Provider, utilizing arts, crafts, or specific training in daily living skills, to im- prove and maintain a patient’s ability to function. Office Visits for Outpatient Mental Health and Substance Use Disorder Services — professional (Physician) office visits for the diagnosis and treat- ment of Mental Health and Substance Use Disor- der Conditions, including the individual, Family or group setting. Open Enrollment Period — that period of time set forth in the Contract during which eligible Em- ployees and their Dependents may enroll in this coverage, or transfer from another health benefit plan sponsored by the Employer to this coverage. Orthosis (Orthotics) — an orthopedic appliance or apparatus used to support, align, prevent or cor- rect deformities, or to improve the function of movable body parts. Other Outpatient Mental Health and Substance Use Disorder Services — Outpatient Facility and professional services for the diagnosis and treat- ment of Mental Health and Substance Use Disor- der Conditions including, but not limited to, the following:

Mental Health Service Administrator (MHSA. The MHSA is a specialized health care service plan licensed by the California Department of Managed Health Care. Blue Shield contracts with the MHSA to underwrite and deliver Blue Shield’s Mental Health and Substance Use Disorder Ser- vices through a separate network of MHSA Partic- ipating Providers. Mental Health Services — services provided to treat a Mental Health Condition. MHSA Non-Participating Provider — a provider who does not have an agreement in effect with the MHSA for the provision of Mental Health or Substance Use Disorder Services. MHSA Participating Provider — a provider who has an agreement in effect with the MHSA for the provision of Mental Health or Substance Use Dis- order Services. Occupational Therapy — treatment under the di- rection of a Physician and provided by a certified occupational therapist or other appropriately li- censed Health Care Provider, utilizing arts, crafts, or specific training in daily living skills, to im- prove and maintain a patient’s ability to function. Office Visits for Outpatient Mental Health and Substance Use Disorder Services — – professional (Physician) office visits for the diagnosis and treat- ment of Mental Health and Substance Use Disor- der Conditions, including the individual, Family or group setting. Open Enrollment Period — that period of time set forth in the Contract during which eligible Em- ployees and their Dependents may enroll in this coverage, or transfer from another health benefit plan sponsored by the Employer to this coverage. Orthosis (Orthotics) — an orthopedic appliance or apparatus used to support, align, prevent or cor- rect deformities, or to improve the function of movable body parts. Other Outpatient Mental Health and Substance Use Disorder Services — – Outpatient Facility and professional services for the diagnosis and treat- ment of Mental Health and Substance Use Disor- der Conditions including, but not limited to, the following: