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Code · BILL · 113th Congress · H.R. 4574 (Introduced in House) — To maximize the access of individuals with mental illness to community-based services, to strengthen the impact of su... · Sec. 302

Sec. 302. Medicaid coverage of mental health services and primary care services furnished on the same day

198 words·~1 min read·/bill/113/hr/4574/ih/section-302

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Not later than one year after the date of the enactment of this Act, the Secretary of Health and Human Services shall issue guidance to clarify that payment under a State plan is not prohibited for a mental health service or primary care service furnished to an individual at a community mental health center that meets the criteria specified in section 1913(c) of the Public Health Service Act ( 42 U.S.C. 300x–2(c) ) or a federally qualified health center (as defined in section 1861(aa)(3) of the Social Security Act (42 U.S.C. 1395x(aa)(3))) for which payment would otherwise be payable under the plan, with respect to such individual, if such service were not a same-day qualifying service.
In this section, the term same-day qualifying service means— a primary care service furnished to an individual by a provider at a facility on the same day a mental health service is furnished to such individual by such provider (or another provider) at the facility; and a mental health service furnished to an individual by a provider at a facility on the same day a primary care service is furnished to such individual by such provider (or another provider) at the facility.
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  • 42 USC 300x–2(c)
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Sec. 302
Medicaid coverage of mental health services and primary care services furnished on the same day
Cite42 USC 300x–2(c)
Cites 2Cited by 0 across 0 sources
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