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ATTACHMENT II EXHIBIT II-C – Effective Date: October 1, 2014 SERIOUS MENTAL ILLNESS SPECIALTY PLAN The provisions in Attachment II and the MMA Exhibit apply to this Specialty Plan, unless otherwise specified in this Ex
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Document Date: 2014-10-06 14:44:24


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City

Specific Claims / /

Company

Case / /

Event

Person Communication and Meetings / /

Facility

Freestanding Psychiatric Specialty Hospital / Fully Accredited Psychiatric Community Hospital / Hour Pharmacy / /

IndustryTerm

behavioral health services / service authorization systems / acute care services / adherence services / minimum covered services / behavioral health assessment tools / management/care coordination services / /

MedicalCondition

schizo-affective disorder / Psychotic disorders / schizophrenia / substance abuse disorders / Acronyms A. Definitions Serious Mental Illness / depression / cardiovascular disease / Diabetes / obsessive-compulsive disorder / bipolar disorder / delusional disorder / /

Organization

Behavioral Health Board / Crisis Stabilization Units/ Freestanding Psychiatric Specialty Hospital / Freestanding Psychiatric Specialty Hospital / Fully Accredited Psychiatric Community Hospital / /

Position

manager selection and assignment / physician / representative / General / case manager / legal representative / /

ProvinceOrState

Urban County / /

Technology

Agency-approved SMI algorithm / SMI algorithm / /

SocialTag