A final regulation implementing MHPAEA was published in the Federal Register on November 13, 2013. The regulation is effective January 13, 2014 and generally applies to plan years (in the individual market, policy years) beginning on or after July 1, 2014.
When was the Mental Health Parity Act enacted?
The Mental Health Parity and Addiction Equity Act (federal parity law) was enacted in 2008 and requires insurance coverage for mental health conditions, including substance use disorders, to be no more restrictive than insurance coverage for other medical conditions.
What did the 1996 parity law accomplish?
The Mental Health Parity Act (MHPA) of 1996 (P.L.104-204) required group health plans with fifty or more employees that offered mental health benefits to apply the same lifetime and annual dollar limits to mental health coverage as those applied to coverage for medical/surgical benefits.
Why is the Parity Act of 2008 important and what are its limitations in care?
The Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) requires group health plans and health insurance issuers to ensure that financial requirements (such as co-pays, deductibles) and treatment limitations (such as visit limits) applicable to mental health or substance use disorder (MH/SUD) benefits are no …
What is the Mental Health Parity Compliance Act?
The Mental Health Parity Act (MHPA) is legislation signed into United States law on September 26, 1996 that requires annual or lifetime dollar limits on mental health benefits to be no lower than any such dollar limits for medical and surgical benefits offered by a group health plan or health insurance issuer offering …
What is the mental health parity law and why is it important?
The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) is a federal law that generally prevents group health plans and health insurance issuers that provide mental health or substance use disorder (MH/SUD) benefits from imposing less favorable benefit limitations on those …
Why is mental health parity important?
One of the many important promises of both the Affordable Care Act and the Mental Health Parity and Addiction Equity Act is to ensure that health plans and insurers offer mental health and substance use disorder benefits that are comparable to their coverage for general medical and surgical care.
What is a requirement of the Mental Health Parity Act quizlet?
Mental Health Parity and Addiction Equity Act (MHPAEA) Congress passed in 2008; requires that treatment limitations and financial requirements be the same for mental health care as they are for physical health care. confidentiality.
What does parity law mean?
Parity is the Law
The Mental Health Parity and Addiction Equity Act (the Federal Parity Law ) was passed in 2008 and requires health insurance plans to cover behavioral health benefits and physical health benefits equally.
What is the primary goal of managed care for mental health services?
The goal of managed care is to provide coordination of all health services with an emphasis on preventive care. While appropriate interventions, none of the remaining options focus on preventive care.
What is a non quantitative treatment limitation?
What are Non-Quantitative Treatment Limitations (NQTL)? NQTLs are processes, strategies, evidentiary standards, or other criteria that limit the scope or duration of benefits for services provided under the plan. … Exclusions based on failure to complete a course of treatment.
What does parity mean in Medicare?
The law requires that large private health insurance plans (those with more than 50 enrollees) offering mental health and/or substance abuse services do so at the same level as they would other medical benefits without additional management. …
Does Mhpaea apply to Medicaid?
The law does not apply to Medicare or self-insured health plans. … MHPAEA supplements prior provisions under the Mental Health Parity Act of 1996 (MHPA), which required parity with respect to aggregate lifetime and annual dollar limits for mental health benefits. California has its own mental health parity law.
Does Mhpaea apply to Medicare?
Group health plans of this size do not have to cover MH/SUDs. … Beyond that, MHPAEA applies to Medicare Advantage coverage offered through a group health plan, Medicaid managed care plans, the State Children’s Health Insurance Program, and state and local government plans that do not opt-out.