Mental Health Parity and Addiction Equity Act
All fully insured health plans sold to individuals, small employer groups, and large employer groups must include benefits for mental health and substance use disorder (MH/SUD) services. These benefits must be provided at the same level as benefits provided for physical illness, also known as “parity.” Self-funded health plans (commonly provided by large employers) aren’t required to cover MH/SUD services. If they do include this coverage, it must be provided in parity with benefits for physical illness.
- Reporting Template Instructions
- Quantitative Treatment Limitation (QTL) Reporting Template
- Nonquantitative Treatment Limitation (NQTL) Reporting Template
The Parity Act is a federal law that requires health insurance companies to cover mental health and substance use disorder (MH/SUD) services in parity with medical and surgical (M/S) services. This includes a requirement that any treatment limitations in a benefit plan can be no more restrictive for MH/SUD services than they are for M/S services.
Bulletins and Alerts
Reporting templates should be completed and saved according to the Reporting Instructions, and then submitted to the Oklahoma Insurance Department at MHPtemplate@oid.ok.gov.
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