Frequent question: Who enforces Mental Health Parity?

The DOL has created a self-compliance tool to help health plans and state regulators assess parity compliance and identify “red flags,” particularly with regard to non-quantitative treatment limits, which may require further analysis to confirm compliance standards are met.

What do mental health parity laws require?

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 does parity mean in mental health?

the equal treatment of

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.

When was the Mental Health Parity Act enacted?


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What does parity law mean?

Parity is the Law

Health insurance plans CANNOT put higher limitations on the number of visits or days of coverage for your behavioral health care than they do for other medical care.

What is a state parity law?

Mental Health “Parity” or Equal Coverage Laws

In short, parity requires insurers to provide the same level of benefits for mental illness, serious mental illness or substance abuse as for other physical disorders and diseases. These benefits include visit limits, deductibles, copayments, and lifetime and annual limits.

Which states have telemedicine parity laws?

The states with true parity are: Arkansas, Delaware, Georgia, Hawaii, Kentucky, Minnesota, Missouri, New Mexico, Utah and Virginia. California is slated to join them under a law signed in October by Gov. Gavin Newsom.

What does parity mean?

1 : the quality or state of being equal or equivalent Women have fought for parity with men in the workplace. 2a : equivalence of a commodity price expressed in one currency to its price expressed in another The two currencies are approaching parity for the first time in decades.

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 did passage of the Mental Health Parity Act establish for the mentally ill?

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.

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Does Mhpaea apply to Medicare?

MHPAEA does not apply to “stand alone” Medicare Advantage plans or Medicare fee-for-service plans. Church plans. Because of their ERISA exemption, church plans are not affected by the MHPAEA’s ERISA requirements.

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