Mental Health Parity Medicaid

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Parity Medicaid

(7 days ago) WEBThe Mental Health Parity and Addiction Equity Act (MHPAEA, Pub.L. 110-343) makes it easier for Americans with mental health and substance use disorders to get the care they need by prohibiting certain discriminatory practices that limit insurance coverage for …

https://www.medicaid.gov/medicaid/benefits/behavioral-health-services/parity/index.html

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Fact Sheet: Parity - Medicaid.gov

(8 days ago) WEBMarch 29, 2016. On September 26, 1996, Congress enacted the Mental Health Parity Act of 1996 (MHPA), which required parity in aggregate lifetime and annual dollar limits for mental health benefits and medical/surgical benefits. The Balanced Budget Act of 1997 (BBA) generally applied certain aspects of MHPA to Medicaid Managed Care …

https://www.medicaid.gov/sites/default/files/2019-12/fact-sheet-cms-2333-f.pdf

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New FAQs on the Mental Health & Substance Use …

(4 days ago) WEBUnder the March 2016 final rule, CMS applied certain mental health and substance use disorder parity provisions of the Mental Health Parity and Addiction Equity Act (MHPAEA) to the coverage provided to enrollees of Medicaid managed care organizations (MCOs), Medicaid alternative benefit plans (ABPs), and CHIP to ensure that financial

https://www.medicaid.gov/about-us/messages/entry/47618

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New Federal Rules Seek To Strengthen Mental Health Parity

(2 days ago) WEBOn July 25, 2023, the Departments of Labor, Health and Human Services, and the Treasury (the tri-agencies) proposed a new rule to strengthen the enforcement of the federal Mental Health Parity and

https://www.healthaffairs.org/content/forefront/new-federal-rules-seek-strengthen-mental-health-parity

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Implementation of the Mental Health Parity and Addiction

(2 days ago) WEBIn 2016, CMS clarified the application of MHPAEA to Medicaid and the State Children’s Health Insurance Program (CHIP) in a final rule that took effect in October 2017. The rule required states and their managed care plans to analyze limits placed on mental health and substance use disorder (SUD) treatment benefits in Medicaid and CHIP.

https://www.macpac.gov/wp-content/uploads/2021/01/Implementation-of-the-Mental-Health-Parity-and-Addiction-Equity-Act-in-Medicaid-and-CHIP.pdf

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Fact Sheet: Mental Health Parity Compliance in Medicaid

(3 days ago) WEB5 See Mental Health Parity Act of 1996, Pub.L. 104–204; Mental Health Parity and Addiction Equity Act of 2008, 29 U.S.C. § 1185a. 6 See Final Rule: Application of Mental Health and Substance Abuse Disorder Parity Requirements to Medicaid Managed Care, CHIP, and Benchmark Coverage, 81 Fed. Reg.

https://healthlaw.org/wp-content/uploads/2018/01/MentalHealthParityComplianceFact-1.31.18.pdf

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Implementation of the Mental Health Parity and Addiction

(2 days ago) WEBCongress enacts the Mental Health Parity Act of 1996 (MHPA, P. L. 104-204), requiring parity in aggregate lifetime and annual dollar limits for mental health and medical benefits and applies to employment related group health plans and health insurance coverage offered in connection with a group health plan. 1997.

https://www.macpac.gov/wp-content/uploads/2021/07/Implementation-of-the-Mental-Health-Parity-and-Addiction-Equity-Act-in-Medicaid-and-CHIP.pdf

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Behavioral Health Parity and Medicaid KFF

(4 days ago) WEBWhen Parity Applies in Medicaid. Federal law requires Medicaid managed care organizations (MCOs) to provide behavioral health benefits in parity with medical/surgical benefits. CMS’s proposed

https://www.kff.org/mental-health/issue-brief/behavioral-health-parity-and-medicaid/

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Parity Compliance Toolkit Applying Mental Health …

(Just Now) WEBapply to mental health (MH) or substance use disorder (SUD) benefits for beneficiaries who receive only Medicaid non-ABP fee-for-service (FFS) state plan services. However, the Centers for Medicare & Medicaid Services (CMS) encourage states to comply with parity for all beneficiaries. The final Medicaid/CHIP parity rule includes the following

https://www.apna.org/wp-content/uploads/2021/03/parity_toolkit_CMS.pdf

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Mental Health Parity in Medicaid: Overview of Requirements & the …

(4 days ago) WEBThis fact sheet describes the parity laws that apply in Medicaid and advises people how to get the information they need to understand whether their plan is complying with the law. Mental Health Parity in Medicaid: Overview of Requirements & the Right to Information The National Health Law Program's experts cover a number of issues

https://healthlaw.org/resource/mental-health-parity-in-medicaid-overview-of-requirements-the-right-to-information/

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Psychiatry.org - Mental Health Parity

(7 days ago) WEBMental Health Parity. 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. Insurers and health plans have been able to comply with

https://www.psychiatry.org/psychiatrists/advocacy/federal-affairs/health-insurance-coverage-access-to-care/mental-health-parity

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Mental Health Parity NAMI

(6 days ago) WEBYet, too often, health insurance covers mental health care differently than other kinds of medical services, creating barriers to affordable, accessible mental health care and reinforcing a stigma around mental illness and seeking mental health treatment. Parity is the basic idea that mental health and addiction care are covered at the same

https://www.nami.org/Advocacy/Policy-Priorities/Improving-Health/Mental-Health-Parity/

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Mental Health Parity Proposed Rule for Medicaid and CHIP

(6 days ago) WEBApr 06, 2015. Medicaid & CHIP. CMS proposes mental health parity rule for Medicaid and CHIP. Proposed rule will strengthen access to mental health and substance use disorder benefits for low-income Americans. The Centers for Medicare & Medicaid Services (CMS) today announced a proposed rule to align mental health and …

https://www.cms.gov/newsroom/press-releases/mental-health-parity-proposed-rule-medicaid-and-chip

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Mental Health Parity at a Crossroads KFF

(3 days ago) WEBMental Health Parity at a Crossroads. More than 25 years after the first federal mental health parity protections were put in place, adequate coverage for behavioral health (BH) care – including

https://www.kff.org/mental-health/issue-brief/mental-health-parity-at-a-crossroads/

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NAMI Policy Brief- Mental Health Parity - NAMI Mercer

(2 days ago) WEBWellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008. S1121/A3295 2020-2021 Known as the Mental Health Access Act, this bill proposes increased reimbursement rates for certain evidence-based behavioral health services under the State Medicaid program.

https://namimercer.org/wp-content/uploads/2021/12/NAMI-Policy-Brief-Mental-Health-Parity.pdf

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New Federal Rules Seek To Strengthen Mental Health Parity

(6 days ago) WEBNovember 2, 2023 Guest. By Maanasa Kona, Assistant Research Professor at the Center on Health Insurance Reforms. On July 25, 2023, the Departments of Labor, Health and Human Services, and the Treasury (the tri-agencies) proposed a new rule to strengthen the enforcement of the federal Mental Health Parity and Addiction Equity Act (MHPAEA) …

https://ccf.georgetown.edu/2023/11/02/new-federal-rules-seek-to-strengthen-mental-health-parity/

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The Mental Health Parity and Addiction Equity Act (MHPAEA)

(4 days ago) WEBThe Mental Health Parity Act of 1996 (MHPA) provided that large group health plans cannot impose annual or lifetime dollar limits on mental health benefits that are less favorable than any such limits imposed on medical/surgical benefits. MHPAEA preserves the MHPA protections and adds significant new protections, such as extending the …

https://www.cms.gov/marketplace/private-health-insurance/mental-health-parity-addiction-equity

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What Is Mental Health Parity? NAMI

(1 days ago) WEBAfter years of NAMI advocates sending letters, making phone calls and visiting their members of Congress mental health parity is law. Now it's time for you to make sure that the law is implemented and that you or your loved one get the treatment and supports you are entitled to. This infographic breaks down the basics of what mental …

https://www.nami.org/health-care-coverage/what-is-mental-health-parity/

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MENTAL HEALTH INSURANCE PARITY: STATE LEGISLATIVE …

(9 days ago) WEBinsurance plans (“mental health parity”) continues to be a priority policy concern at the federal and state levels. Measures approved by Congress and state legislatures have established methods for assessing mental health parity on a regular basis. But other issues that have long challenged the nation’s health care system, such as trans-

https://www.csg.org/wp-content/uploads/sites/7/2021/09/Mental_Health_Parity.pdf

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What is Mental Health Parity? NAMI

(6 days ago) WEBMental health parity describes the equal treatment of mental health conditions and substance use disorders in insurance plans. When a plan has parity, it means that if you are provided unlimited doctor visits for a chronic condition like diabetes then they must offer unlimited visits for a mental health condition such as depression or schizophrenia. […]

https://www.nami.org/Your-Journey/Individuals-with-Mental-Illness/Understanding-Health-Insurance/What-is-Mental-Health-Parity/

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Pages - Maryland Medicaid Parity (MHPAEA) - Maryland …

(4 days ago) WEBThe Centers for Medicare & Medicaid Services (CMS) released a final rule addressing the requirements for Medicaid and the Children's Health Insurance Program (CHIP) compliance with the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA). MHPAEA requires parity in the treatment limitations and

https://health.maryland.gov/mmcp/Pages/Mental-Health-Parity.aspx

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Despite efforts to close gap, parity in mental health care remains

(5 days ago) WEBIn 1996, the first federal parity legislation passed, requiring that certain insurance providers offer mental health care benefits on par with those for medical or surgical care. Legislation adopted in 2008 and the Affordable Care Act of 2010 expanded the reach of the 1996 law to more people and providers.

https://publicintegrity.org/health/health-parity/gap-parity-mental-health-care-remains-elusive/

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Federal Register/Vol. 89, No. 97/Friday, May 17, 2024/Notices

(8 days ago) WEBWellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) (Pub. L.110–343) generally requires that group health plans and group health insurance issuers offering both medical and surgical (med/surg) and mental health or substance use disorder (MH/SUD) benefits do not apply any more

https://www.govinfo.gov/content/pkg/FR-2024-05-17/pdf/2024-10900.pdf

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The State of State Biomarker Testing Insurance Coverage Laws

(7 days ago) WEBFor example, laws pertaining to mental health parity have had little effect on the use of and spending on mental health services. 1 As more states enact such laws, it is important to examine their provisions to gauge their potential effectiveness. Medicare, and Medicaid. 5.

https://jamanetwork.com/journals/jama/fullarticle/2818623

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Medi-Cal-Behavioral-Health-Policy-Division-CCCPB-and-SMCPB

(3 days ago) WEBAssisted Outpatient Treatment (AOT) Program Assembly Bill (AB) 1421 (Thomson, Chapter 1017, Statutes of 2002) established the Assisted Outpatient Treatment (AOT) Demonstration Project Act of 2002 in Welfare and Institutions (W&I) Code Sections 5345 – 5349.5, known as Laura’s Law. The legislation established an option for counties to …

https://www.dhcs.ca.gov/Pages/Medi-Cal-Behavioral-Health-Policy-Division-CCCPB-and-SMCPB.aspx

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State adoption of telehealth payment parity has grown but still …

(7 days ago) WEBOthers have enacted telehealth payment parity only for mental health services. In some cases, payment parity laws have expired. The report noted that New York’s statute expired on April 1, 2024, and was not renewed. Further, the report shows that 18 states have adopted laws that make coverage of audio-only telehealth permanent for …

https://mhealthintelligence.com/news/state-adoption-of-telehealth-payment-parity-has-grown-but-still-varies

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Close Medicare's dangerous gaps in addiction treatment coverage …

(9 days ago) WEBThese gaps persist despite the goals set by the Mental Health Parity and Addiction Equity Act, passed in 2008. Under this law, the standards of health insurance plans for substance use and mental

https://www.statnews.com/2024/05/13/medicare-dangerous-gaps-addiction-treatment-coverage/

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Request for Comments on Processes for Assessing …

(5 days ago) WEBTo strengthen implementation of parity in Medicaid and CHIP, CMS issued regulations in 2016 specifically focused on implementing the federal parity requirements that apply to Medicaid MCOs, CHIP, and Medicaid ABPs. xix These Medicaid and CHIP parity regulations were informed by the 2013 MHPAEA final regulations that apply to private …

https://www.medicaid.gov/state-resource-center/state-operations-and-technical-assistance/downloads/cmcs-mental-health-parity-092023.pdf

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Telehealth in Washington State - Washington State Department of …

(Just Now) WEBTelehealth care takes place where the patient is located at the time of the appointment. This means that practice laws and requirements in the patient's location regulate healthcare professionals' practice. Washington state has passed laws related to telehealth and telemedicine, addressing definitions; regulations; scope of practice; licensing, …

https://doh.wa.gov/public-health-provider-resources/telehealth/telehealth-washington-state

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Information Resource Center - Medicaid.gov

(Just Now) WEBa diagnosable mental, behavioral, or emotional. disorder which substantially impairs the mental. health of the person, substance abuse disorders, intellectual disabilities and other developmental disorders or seizure disorders, unless those exceptions co-occur with another diagnosable metal illness.

https://www.medicaid.gov/resources-for-states/downloads/state-hh-spa-at-a-glance-matrix-mar-2024.pdf

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