Section 1367.015 Of Article 5. Standards From California Health And Safety Code >> Division 2. >> Chapter 2.2. >> Article 5.
1367.015
. In addition to complying with subdivision (h) of Section
1367.01, in determining whether to approve, modify, or deny requests
by providers prior to, retrospectively, or concurrent with the
provision of health care services to enrollees, based in whole or in
part on medical necessity, a health care service plan subject to
Section 1367.01 shall not base decisions to deny requests by
providers for authorization for mental health services or to deny
claim reimbursement for mental health services on either of the
following:
(a) Whether admission was voluntary or involuntary.
(b) The method of transportation to the health facility.