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A new study by the Health Care Cost Institute shows that access to hospital inpatient substance use disorder treatment was up by 19.5% in 2011.
Read moreAs written about by John Grohol in Psych Central, Kaiser Permanente, California’s largest HMO was found by the California Department of Managed Health Care to be violating patient protection laws. California requires that patients wait no more than 10 days for an appointment to see a specialist. Kaiser Permanente was found to keep some patients …
Read moreAs written in Psych Today, the Connecticut Psychiatric Society, the American Psychiatric Society, and the Medical Society of Connecticut allege that Anthem Blue Cross/Blue Shield of Connecticut is violating the federal parity and other laws with new reimbursement procedures for new CPT code implementation. The provider groups believe the new CPT code procedures will leave …
Read morePomerantz Law Firm Has Filed a Class Action Against UnitedHealth Group, Inc. for Violations of Federal and State Mental Health Parity Laws – UNH March 12, 2013 15:20 | Source: Pomerantz Grossman Hufford Dahlstrom & Gross LLP NEW YORK, March 12, 2013 (GLOBE NEWSWIRE) — Pomerantz Grossman Hufford Dahlstrom & Gross LLP has filed a …
Read moreOn January 16, 2013- Maryland Parity Project Director was pleased to join with students at the University of Maryland King Carey School of Law Drug Policy Clinic to present a 90 minute webcast on the federal parity law. The webcast, hosted by the Maryland Medicaid Matters Coalition,presents an overview of the law with a focus …
Read moreOn February 12, 2013 Montgomery County Government released a memo stating their intention to have all county government employee health plans comply with the federal mental health parity law. Now Montgomery County Public Schools, Montgomery County Community College, and Montgomery County Government plans will be compliant.The memo and attached documents address the noncompliant section of …
Read moreLast week HHS released the final rule regulating the Essential Health Benefit Plans that will be sold in the large and small group markets in 2014. See entire rule Of note in the final rule: requires that plan designs are non-discriminatory clarifies that the EHB must include mental health/substance use disorder benefits at parity for …
Read moreIn early January, CMS issued a letter to State Medicaid Directors confirming that all Medicaid MCOs must be compliant with federal parity law. The letter also directed Medicaid Directors to ensure that the new Medicaid expansion population and the Children’s Health Insurance Plan recipients would also receive parity compliant Medicaid plans no matter the delivery …
Read moreIn September we worked with a family who had been denied reimbursement for residential treatment provided to their son. The insurance policy holder was a federal employee, and while the employee’s plan included a benefit for residential treatment it required that the treatment be deemed medically necessary. The plan initially approved a short stay, but …
Read moreBased on new HHS guidance, Maryland’s HCRCC met on December 17, 2012 and reversed its selection of the state employee plan as the state’s Essential Health Benefit Benchmark. On Monday, the HCRCC voted to select the Small Employer Plan as the EHB Benchmark. The small employer plan will serve as the EHB for both small …
Read moreThe Selection On September 27, 2012 The Maryland health Care Reform Coordinating Council voted to select the State Employee Health Plan as its benchmark for the Essential Health Benefit Plan. Of course, because nothing can be simple, the HCRCC included in their motion a support for flexibility around the in vitro fertilization benefit. There was …
Read moreA new Massachusetts law signed by Governor Deval Patrick on August 6, 2012 requires insurance carriers to submit an annual report to the Attorney General demonstrating their compliance with the Mental Health Parity and Addiction Equity Act. The law requires the Insurance Commissioner to promulgate regulations by July 2012 to facilitate this process. Highlights of …
Read moreThe US Department of Labor Employee Benefit Security Administration recently updated its Mental Health Parity and Addiction Equity Act Self- Compliance tool. This tool is provided to enable group health insurance plan administrators, large employers, health insurance issuers and other interested parties determine whether a health plan is in compliance with the federal parity act. …
Read moreA Virginia insurer overturned their decision to deny reimbursement for 6 outpatient sessions, originally not deemed medically necessary. Recently, the Maryland Parity Project assisted a Maryland psychologist file an appeal in an attempt to secure reimbursement for 6 outpatient sessions that took place in 2011. The insurer in the case denied authorization for the sessions, …
Read moreGuest Post by The National Parity Implementation Coalition www.parityispersonal.org Last night 250 people attended the Parity Forum in Friendship Heights Maryland. The forum was chaired by Rep. Chris Van Hollen (D-MD) and attended by former Reps. Patrick Kennedy and Jim Ramstad and current Members Moran (D-VA) and Tonko (D-NY). Three panels of witnesses made a …
Read moreThe Maryland Parity Project was proud to host three presenters from the US DOL Employee Benefit Security Administration on June 11th. The presenters gave a comprehensive overview of the current federal mental health parity regulations, using concrete examples to make the regulations understandable. Presenters did their best to answer questions about insurers compliance with non …
Read morePress Release of the Los Angeles Law Firm of Cohen Mckeon, May 21, 2012 A class-action lawsuit was filed against United Healthcare Insurance Company, US Behavioral Plan, and California United Behavioral Health, which contracts with employers such as the University of California to provide mental health services to policyholders. The class-action suit alleges that these companies, …
Read moreNew York Recently, 15 insurance companies were fined a combined $2.7 million dollars for failure to comply with Timothy’s Law, New York’s mental health parity law. Read Rep Tonkos Response Oregon Regence Blue Cross Blue Shield of Oregon has slashed mental health benefits and raised deductibles for medical care. Michigan Advocates “walk a mile” to …
Read moreThe US Department of Labor released new FAQ on Implementation of the Mental Health Parity and Addiction Equity Act of 2008 on May 9, 2012. The FAQ are fairly general and contain little new or not previously released information. A few noteworthy items include- Q6 asks if nonquantitative treatment limits (NQTL) are analyzed as quantitative …
Read moreIn recently released press release, Thomson Reuters says the findings from two separate studies done by Thomson Reuters researchers in conjunction with SAMHSA, show that increased behavioral health coverage is unlikely to be costly to employers. The primary reasoning being the low utilization and small amount of spending for behavioral health. The studies showed that behavioral health …
Read moreA study published by the RAND Corporation, contracted by the HHS Assistant Secretary for Planning and Evaluation, includes a short term analysis of current implementation of the Mental Health Parity and Addiction Equity Act. The study focuses on two issues in the current regulations, non quantitative treatment limitations and scope of service. RAND convened a …
Read moreParity Champions Representatives Kennedy and Ramstad persist in the parity battle. Both were sponsors of the Mental Health Parity and Addiction Equity Act and were instrumental in its passage. At a lunch on March 14th at the National Press Club, Kennedy and Ramstad pledged their commitment to stay involved in the fight for final regulations …
Read moreThe National Council For Community Behavioral Health Care developed a factsheet on what it means for behavioral health that states will be making decisions about the Essential Health Benefits Plan. It is imperative that we stay engaged in the process and fight to make sure that a full continuum of care for mental health and substance …
Read moreIn November, the U. S. Department of Labor launched a new online form for all health insurance questions and complaints. The form isn’t specific to Mental Health Parity and Addiction Equity Act complaints or questions, but can be used for parity questions and complaints. Consumers and providers will need to input specific information about their situation …
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