Section 304.17A-660 - Definitions for KRS 304.17A-660 to 304.17A-669As used in KRS 304.17A-660 to 304.17A-669, unless the context requires otherwise:
(1) "Classification of benefits" means the classification of benefits set forth in 45 C.F.R. sec. 146.136(c)(2)(ii)(A);(2) "Mental health condition" means any condition or disorder that involves mental illness or substance use disorder as defined in KRS 222.005 and that falls under any of the diagnostic categories listed in the most recent version of the Diagnostic and Statistical Manual of Mental Disorders or that is listed in the mental disorders section of the most recent version of the International Classification of Disease;(3) "Nonquantitative treatment limitation" means any limitation that is not expressed numerically but otherwise limits the scope or duration of benefits for treatment;(4) "Terms or conditions" includes day or visit limits, episodes of care, any lifetime or annual payment limits, deductibles, copayments, prescription coverage, coinsurance, out-of-pocket limits, and any other cost-sharing requirements; and(5) "Treatment of a mental health condition" includes but is not limited to any necessary outpatient, inpatient, residential, partial hospitalization, day treatment, emergency detoxification, or crisis stabilization services.Effective: January 1, 2022
Amended 2021 Ky. Acts ch. 15, sec. 1, effective January 1, 2022. -- Amended 2019 Ky. Acts ch. 128, sec. 26, effective June 27, 2019. -- Created 2000 Ky. Acts ch. 463, sec. 1, effective July 14, 2000.
Amended by 2021 Ky. Acts ch. 15,§ 1, eff. 1/1/2022.Amended by 2019 Ky. Acts ch. 128,§ 26, eff. 6/26/2019.Effective:7/14/2000
Created 2000, Ky. Acts ch. 463, sec. 1, effective7/14/2000.