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Proposed Legislation Could Eliminate Managed Behavioral Health in HMOs

OPEN MINDS The Behavioral Health & Social Service Industry Analyst Industry News Proposed legislation in Pennsylvania could severely curtail the application of managed care concepts to chemical dependency treatment in HMOs. House Bill 1516 would require that HMOs in Pennsylvania: File their criteria for reviewing chemical dependency treatment necessity and appropriateness with the Department of Health Make this criteria available to all employees and providers Assure that this criteria is compatible with the criteria submitted to the Department of Health from the Physicians Advisory Task Force In addition the bill would prohibit HMOs or managed behavioral health programs working for . . .

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