Examples of Serious Emotional in a sentence
This Exclusion does not apply to Medically Necessary services to treat Severe Mental Illness or Serious Emotional Disturbances of a Child as required by state law.
This Exclusion does not apply to Medically Necessary services to treat Severe Mental Illness or Serious Emotional Disturbances of a Child as required by state law, or to “Hospice Care” as specified in the section “What’s Covered”.
This Exclusion does not apply to Medically Necessary services to treat Severe Mental Illness or Serious Emotional Disturbances of a Child as required by state law, or to educational and counseling services related to screening for or the treatment of asthma, diabetes, HIV, tobacco use prevention and cessation, family planning and contraceptive management, breastfeeding, nutritional counseling, or educational services in the treatment of mental health or substance abuse.
This Exclusion does not apply to Medically Necessary services to treat Severe Mental Illness or Serious Emotional Disturbances of a Child as required by state law, or to immunizations required or recommended for travel to countries outside the United States.
Serious Emotional Disturbance (SED) of a Child means a child who: 1) Has one or more mental disorders as identified in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders, other than a primary substance use disorder or developmental disorder, that result in behavior inappropriate to the child's age according to expected developmental norms, and2) Who meets the criteria in paragraph (2) of subdivision (a) of Section 5600.3 of the Welfare and Institutions Code.
Mental Health Coverage for Severe Mental Illness, or Serious Emotional Disturbance of a Child Coverage for mental health care services will be determined by a Member’s medical and mental health diagnosis and condition.
Bills for this are to be submitted to:Claims DepartmentChinese Community Health Plan 445 Grant Avenue, Suite 700 San Francisco, CA 94108Mental Health and/or Behavioral CareThe scope of treatment services for mental health conditions that a plan must cover varies depending on whether the condition is defined as a Severe Mental Illness (SMI), a Serious Emotional Disturbance of a Child (SED), or another type of mental or substance use disorder that is not an SMI orSED.
This exclusion shall not apply to Medically Necessary services which Blue Shield is re- quired by law to cover for Severe Mental Ill- nesses or Serious Emotional Disturbances of a Child.See the Grievance Process section for information on filing a grievance, your right to seek assistance from the Department of Managed Health Care, and your right to independent medical review.
Youth meeting eligibility criteria for Serious Emotional Disturbance who need a continuation of services started before the age of 18 may receive those through 21 years of age, as indicated on the treatment plan.
Youth identified by the Community Mental Health Center through an integrated comprehensive assessment as meeting eligibility criteria for Serious Emotional Disturbance may receive behavioral health treatment as developed in a treatment plan.