Federal
Mental Health Parity and Addiction Equity
Act
The Federal Mental Health Parity and Addiction
Equity Act, effective October 3, 2009,
prohibits health plans from placing more
restrictive financial requirements or treatment
limitations on mental health or substance
use disorder benefits than on medical benefits.
Beginning October 3, upon renewal of employer
group plans with 51 or more employees,
benefits for mental health or substance
use disorders will be equal to medical
benefits. |
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The Act does not apply to:
- Uninsured persons
- Incarcerated individuals
- Medicaid or Medicare beneficiaries
- Small group plans (2-50 members) or
- Individual plan members
For verification of member benefits and eligibility,
please access the Asuris Online Services
for Providers or contact the
Customer Service number listed on the back of the
member card.
To request authorization for outpatient or intensive
outpatient services, fax a completed Asuris Behavioral
Health Treatment Plan Request Form to
1 (800) 331-3505.
Current care management requirements are available
in the Care
Management section of our Provider
Web Site under Medical Pre-authorization.
The Behavioral Health section of our Administrative
Manual will be updated on February 1, 2010,
to reflect the new care management requirements.
Our care management team reviews and authorizes
care based on Asuris
Behavioral Health policies.
1/13/2010
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