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California Issues APL on Implementing Senate Bill 855
Manatt, Phelps & Phillips, LLP [Guidance Overview] Jan. 21, 2021 "SB 855 ... expand[s] state coverage requirements for mental health and substance use disorder services, and it requires health plans and insurers to adopt a standardized definition of 'medical necessity' for those treatments. [All Plan Letter 21-002] provides an overview of SB 855, identifies clinical criteria and guidelines that health plans must apply when determining the medical necessity of behavioral health treatments under the new law, and outlines compliance filing requirements." |
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