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Medical Necessity in Private Health Plans

References

American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington, DC: Author.

Bedrick v. Travelers Ins. Co., 93 F.3d 149 (4th Cir. 1996).

Blumenthal, R. (2002). Report of the Attorney General's Investigation Concerning Psych Management, Inc. and Anthem Blue Cross and Blue Shield of Connecticut. Available at http://www.cslib.org/attygenl/mainlinks/tabindex6.htm. Accessed April 3, 2002.

Buck, J. A., Teich, J. L., Umland, B., & Stein, M. (1999). Behavioral health benefits in employer-sponsored health plans, 1997. Health Affairs, 18(2), 67-78.

Chodoff, P. (1998). Medical necessity and psychotherapy. Psychiatric Services, 49(11),1481-1483.

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Singer, S. J., Bergthold, L. A., Vorhaus, C., & Enthoven, A. (1999). Decreasing variation in medical necessity decision-making. Palo Alto, CA: Stanford University.

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