Rhode Island S2564 mandates that payors use generally accepted standards of care for mental health and substance use disorder coverage.

Rhode Island S2564 requires payors to rely on criteria reflecting generally accepted standards of care when developing coverage for mental health and substance use disorder treatment. It mandates that payors use the most recent age-appropriate patient placement criteria from nonprofit professional provider associations. The bill prohibits payors from modifying clinical criteria to reduce coverage below the level established by these standards. It also ensures that patients with substance use disorders have access to evidence-based, non-opioid treatment for pain.

Rhode Island S2564 mandates that payors use generally accepted standards of care for mental health and substance use disorder coverage.

Rhode Island S2564 requires payors to rely on criteria reflecting generally accepted standards of care when developing coverage for mental health and substance use disorder treatment. It mandates that payors use the most recent age-appropriate patient placement criteria from nonprofit professional provider associations. The bill prohibits payors from modifying clinical criteria to reduce coverage below the level established by these standards. It also ensures that patients with substance use disorders have access to evidence-based, non-opioid treatment for pain.