Who enforces Mental Health Parity?

The Center for Consumer Information and Insurance Oversight summarizes the Mental Health Parity and Addiction Equity Act (MHPAEA) and highlights the key changes from previous policy. The Center for Medicaid and CHIP Services summarizes the parity requirements for Medicaid and CHIP programs.

How is the Mental Health Parity Act funded?

Prevention and Early Intervention programs implemented by CalMHSA are funded by counties through the voter-approved Mental Health Services Act (Prop 63). Prop. 63 provides the funding and framework needed to expand mental health services to previously underserved populations and all of California’s diverse communities.

Who enforces Mhpaea?

The California Department of Insurance enforces MHPAEA in the health insurance it regulates. Insurance for assistance: Any consumer covered by health insurance regulated by the California Department of Insurance may contact our hotline at 800-927-4357 or submit a complaint online.

Is there Mental Health Parity?

California’s Mental Health Parity Act, as amended in 2020, requires all state-regulated commercial health plans and insurers to provide full coverage for the treatment of all mental health conditions and substance use disorders.

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Who signed the Mental Health Parity Act?

The landmark Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), signed into law by President George W. Bush, sought to end health insurance discrimination between mental health and substance use disorder benefits and any physical health benefits.

Who is exempt from Mental Health Parity?

Self-insured non-Federal governmental plans that have 50 or fewer employees; Self-insured small private employers that have 50 or fewer employees; Group health plans and health insurance issuers that are exempt from MHPAEA based on their increased cost (except as noted below).

Does Mental Health Parity apply to grandfathered plans?

There are some plan types the MHPAEA does not apply to, which include: Grandfathered plans (individual or group, including small employer health plans) … Medicare (except for outpatient mental health services available through Part B) Traditional Medicaid (fee-for-service, non-managed care)

What does mental health parity law require?

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 is a non-quantitative treatment limitation?

What are Non-Quantitative Treatment Limitations (NQTL)? … Medical management standards limiting or excluding benefits based on medical necessity, medical appropriateness, or based on whether the treatment is experimental or investigative (including standards for concurrent review).

What was the first mental illness?

The earliest known record of mental illness in ancient China dates back to 1100 B.C. Mental disorders were treated mainly under Traditional Chinese Medicine using herbs, acupuncture or “emotional therapy”.

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What does parity mean in mental health?

Mental health parity describes the equal treatment of mental health conditions and substance use disorders in insurance plans. … If the health insurance plan is very limited, then mental health coverage will be similarly limited even in a state with a strong parity law or in a plan that is subject to federal parity.

What is mental health parity Compliance Act?

This bill revises the mental health parity rules to require private health insurance plans that offer both medical and mental health coverage to prepare a comparative analysis of nonquantitative treatment limitations (NQTLs).

Is PTSD a parity diagnosis?


Connecticut, Illinois, Maryland, and Vermont are among the states that require coverage parity for all of the mental disorders, including PTSD, classified in the Diagnostic and Statistical Manual of Mental Disorders (currently DSM-IV).