New Georgetown Report Critiques State Efforts to Implement Psychological Well being Parity


By JoAnn Volk, Rachel Schwab, Maanasa Kona, and Emma Walsh-Alker

The US is in a behavioral well being disaster exacerbated by the pandemic. As extra people and households want behavioral well being care, they face important boundaries to therapy. The Psychological Well being Parity and Habit Fairness Act (MHPAEA) was enacted to take away insurance-related obstacles to psychological well being and substance use dysfunction therapy, however insufficient compliance has raised questions on well being plan enrollees’ skill to entry these essential companies.

In a brand new subject temporary supported by the Robert Wooden Johnson Basis, CHIR consultants evaluation MHPAEA oversight and enforcement in 5 states—Arizona, Nebraska, Pennsylvania, Virginia, and Washington—to grasp the challenges states face and determine alternatives for enchancment. The temporary focuses on enforcement of parity necessities for “non-quantitative” therapy limits that insurers impose on enrollees, similar to prior authorization necessities and medical necessity determinations.

You possibly can learn the total report right here.


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