(9/9/24)
“The Biden administration has released its final rule updating mental health parity compliance for group and individual health plans.
Released Monday, the final rule updates how federal agencies oversee whether health plans treat behavioral health benefits differently than physical health benefits. In short, it requires and spells out how health plans are to analyze nonquantitative treatment limitations (NQTL) for both types of benefit and re
quires plans to remedy and disparity.
…
Other elements of ensuring that NQTLs don’t limit access to behavioral health care include ensuring “essential” mental health and addiction treatment services are covered. Analysis of NQTLs are also required to assess things like network composition and out-of-network.
The final rule also specifically ends the ability of self-funded, non-federal governmental plans to opt out of MHPAEA compliance.”
Read the full Behavioral Health Business story here