(1) A managed care organization offering a health benefit plan providing coverage for alcohol or drug dependency treatment may require an inpatient facility to be licensed by: (a) (i) the Department of Human Services, under Title 62A, Chapter 2, Licensure of Programs and Facilities; or (ii) the Department of Health; or (b) for an inpatient facility located outside the state, a state agency similar to one described in Subsection (1)(a).
(a) (i) the Department of Human Services, under Title 62A, Chapter 2, Licensure of Programs and Facilities; or (ii) the Department of Health; or
(i) the Department of Human Services, under Title 62A, Chapter 2, Licensure of Programs and Facilities; or
(ii) the Department of Health; or
(b) for an inpatient facility located outside the state, a state agency similar to one described in Subsection (1)(a).
(2) For inpatient coverage provided pursuant to Subsection (1), a managed care organization may require an inpatient facility to be accredited by the following: (a) the Joint Commission; and (b) one other nationally recognized accrediting agency.
(a) the Joint Commission; and
(b) one other nationally recognized accrediting agency.
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