MMC Benefits Handbook
Mental Health/Substance Use
Does the Plan cover mental health/substance use services?
The Plan covers medically necessary inpatient and outpatient mental health/substance use treatment services, including residential treatment.
Does the Plan cover services in connection with autism?
The Plan covers medically necessary inpatient and outpatient treatment services for autism, including intensive behavioral therapies such as Applied Behavioral Analysis that are (i) focused on the treatment of core deficits of Autism Spectrum Disorder, (ii) provided by a board certified Applied Behavioral Analyst (BCBA) or other qualified provider under appropriate supervision, and (iii) focused on treating maladaptive/stereotypic behaviors that pose a danger to self, others or property, or that impair daily functioning. Pre-authorization is required for services associated with Applied Behavioral Analysis.