Understanding Behavioral Health Insurance Parity

Tuesday, August 18, 2015

On June 29, 2015, Brown & Weinraub Senior Counsel, John Tauriello, presented a seminar to members and representatives of the Coalition of Behavioral Health Agencies, Inc., entitled: Understanding Behavioral Health Insurance Parity: History, Overview and Interactive Discussion of Federal and State Parity Requirements. The Coalition represents over 100 non-profit, community-based behavioral health agencies that serve over 350,000 clients in the greater New York City area.

The attached presentation provides an overview of the major provisions and the impact of the Federal Mental Health Parity and Addiction Equity Act, the Affordable Care Act, and New York State’s Timothy’s Law, including the legal requirements imposed upon health insurance policies, contracts and plans to ensure relative equality or “parity” regarding the treatment of behavioral health insurance coverage, when compared to medical/surgical coverage. Recently proposed Federal regulations are described which outline parity requirements and limitations intended to be applicable to managed care plans in the future.

The presentation provides an in depth review of the financial requirements and treatment limitations of the parity laws, including non-quantitative treatment limitations such as medical necessity, prior authorization and network adequacy. Several specific examples taken from the Federal regulations are also highlighted.

Any questions can be directed to John Tauriello at 518-427-7350 or jtauriello@brownweinraub.com.

Behavioral Health Coalition Parity – Full Presentation