will apply to all services performed on or after the above Revision date which
will become the new effective date.
services referred to in this policy that were performed before the revision
date, contact customer service for the rules that would apply.
QualChoice plans do not cover residential care; refer to your Benefit Summary.
If your plan
covers residential treatment for mental health and substance abuse disorders,
covered enrollees see BI208
facilities may be legally constituted to provide medical and other services to
live-in residents. Programs that do not provide skilled medical services on a
daily basis are not covered under any circumstances. Examples of residential
facilities include, but are not limited to:
abuse after-care facilities
cord, brain injury, independent living facilities
Adolescent psychiatric residential facility