The Center for Consumer Information & Insurance Oversight (CCIIO) at the Department of Health and Human Services has issued answers to Frequently Asked Questions about the implementation of the Affordable Care Act and the Mental Health Parity and Addiction Equity Act. The FAQs address such topics as:
- After the amendments made by the Affordable Care Act, are small employers still exempt from parity requirements?
- Am I entitled to receive a copy of the criteria for medical necessity determinations made by the patient’s plan or health insurance coverage?
- I think my plan is applying medical necessity standards more strictly to benefits for mental health and substance use disorder treatment than for medical/surgical benefits. How can I obtain information on the medical necessity criteria used for medical/surgical benefits?
The parity FAQs are part of a series addressing many important aspects of the health reform law. Click here to visit CCIIO’s website and view the other FAQs.