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.
Treatment of the medical complications of acute drug and alcohol withdrawal is
covered as a medical benefit, and is subject to all the stipulations and
limitations related to medical benefits.
Treatment of drug or
alcohol dependency (including withdrawal from acute intoxication, where the
withdrawal has no medical complications or consequences) is covered under the
mental health benefit and is subject to the limitations of that benefit (see
Ultra-rapid detoxification (UROD) as a clinical detoxification treatment and for
all other indications has not been established. QualChoice considers UROD as
experimental and investigational and is therefore not covered.