Severe Mental Illness definition

Severe Mental Illness means any of the following Mental Illnesses that are biologically based and for which diagnostic criteria are prescribed in the Diagnostic and Statistical Manual of Mental Disorder (DSM), published by the American Psychiatric Association:
Severe Mental Illness means the following as defined by the American Psychiatric Association:
Severe Mental Illness means any of the following Mental Illnesses that are biologically based and for which diagnostic criteria are prescribed in the Diagnostic and Statistical Manual of Mental Disorder (DSM), fourth edition, published by the American Psychiatric Association:  Bipolar disorder;  Major depressive disorders;  Obsessive-compulsive disorder;  Panic disorder;  Schizoaffective disorder; and  Schizophrenia.

Examples of Severe Mental Illness in a sentence

  • All inpatient Mental Health or Severe Mental Illness Services require Plan notification.

  • All non-routine, outpatient Mental Health or Severe Mental Illness Services require Prior Authorization.

  • Medical necessity criteria re: evidence of Severe Emotional Disturbance or Severe Mental Illness 3.

  • Member must contact Behavioral Healthcare Options at (▇▇▇) ▇▇▇-▇▇▇▇ or ▇-▇▇▇-▇▇▇-▇▇▇▇ for Prior Authorization of all Mental Health, Severe Mental Illness or Substance Abuse treatment.

  • Insureds must call BHO at (▇▇▇) ▇▇▇-▇▇▇▇ or ▇-▇▇▇-▇▇▇-▇▇▇▇ for assistance in scheduling their first appointment in order to verify that any requested Mental Health or Severe Mental Illness Services are Covered Services under the Plan, and that such Covered Services will be obtained at the appropriate level of care in order to be eligible for full benefit payment.


More Definitions of Severe Mental Illness

Severe Mental Illness means the following disorders as defined by the American psychiatric
Severe Mental Illness means any of the following biologically based mental illnesses for which the diagnostic criteria are prescribed in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders:
Severe Mental Illness means the following disorders as defined by the American Psychiatric Association: schizophrenia, schizoaffective disorder, bipolar disorder, major depression, panic disorder, obsessive-compulsive disorder, and autism.
Severe Mental Illness means any of the following
Severe Mental Illness means the conditions defined by KRS 210.005(2) and (3).
Severe Mental Illness means any of the following mental illnesses that are biologically based and for which diagnostic criteria are prescribed in DSM IV: schizophrenia, schizoaffective disorder, bipolar disorder, major depressive disorder, panic disorder, and obsessive-compulsive disorder.
Severe Mental Illness means the manifestation of all of the following characteristics: (i) a primary diagnosis of one of the major mental disorders in the current edition of the Diagnostic and Statistical Manual of Mental Disorders listed as follows: schizophrenia disorder; delusional disorder; schizo­affective disorder; bipolar affective disorder; atypical psychosis; major depression, recurrent; (ii) substantial impairment of functioning in at least 2 of the following areas: self­maintenance, social functioning, activities of community living, and work skills; and (iii) presence or expected presence of the disability for at least one year.