CMS releases FAQ on mental health parity expanding to more classifications of patients

October 23, 2017

Health Care Alert

On March 30, 2016, the U.S. Department of Health and Human Services published a final rule, which expanded overall parity protections under the Mental Health Parity and Addiction Equity Act (the Act). Certain provisions of the Act now apply to Medicaid Managed Care, Children’s Health Insurance Program (CHIP) and Alternative Benefit Plans. This expansion automatically covered approximately 23 million more consumers.

Since the publication of that final rule, there has been an influx of follow-up inquiries directed at CMS to ensure correct interpretation and implementation of this new regulatory sphere. To efficiently respond to these requests, CMS compiled an FAQ document, which was released on October 11, 2017. The FAQ document generally addresses the standards of non-emergency medical transportation, defines non-quantitative treatment limits and provides guidance on mental health and substance use disorder benefits as they relate to long-term health care. This FAQ page can be found here.

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