Mental Plan may not apply any financial requirement or treatment P.L. 110-343 42 USC Health limitation to MH/SUD benefits that is more restrictive than Parity those applied to medical/surgical benefits. (Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (“MHPAEA”)) The copayment or coinsurance for mental health services RCW 48.44.341(2)(c)(i) may be no more than the copayment or coinsurance for medical and surgical services otherwise provided under the health benefit plan. Mental Preventive services are excluded from this comparison. 48.44.341(2)(c)(i) Health If the plan has a maximum out-of-pocket limit or stop loss, it RCW Parity 48.44.341(2)(c)(i) must be for medical, surgical, and mental health - it cannot (Cont’d) have a separate MOOP or stop loss for mental health. If the plan has any deductible, it must be for medical, RCW 48.44.341(2)(c)(i) surgical, and mental health – it cannot have a separate deductible for mental health. Prescription drugs intended to treat any MH/SUD disorder RCW 48.44.341 must be covered to the same extent, and under the same (2)(c)(ii) terms and conditions, as other covered prescription drugs. No preauthorization is required for mental health treatment RCW 48.44.342 rendered by a state hospital if the enrollee or covered dependent is involuntarily committed. Health benefit plans may not reduce the number of mental RCW health outpatient visits or mental health inpatient days below 48.44.341(3) the level in effect on July 1, 2002. Plan must cover MH/SUD benefits in every classification in WAC which medical/surgical benefits are provided.
Mental Health Parity Mental Health Parity (Cont’d) P.L. 110-343 42 USC Plan may not apply any financial requirement or treatment limitation to MH/SUD benefits that is more restrictive than those applied to medical/surgical benefits. (Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (“MHPAEA”)) RCW 48.44.341(2)(c)(i) The copayment or coinsurance for mental health services may be no more than the copayment or coinsurance for medical and surgical services otherwise provided under the health benefit plan. 48.44.341(2)(c)(i) Preventive services are excluded from this comparison. RCW 48.44.341(2)(c)(i) If the plan has a maximum out-of-pocket limit or stop loss, it must be for medical, surgical, and mental health - it cannot have a separate MOOP or stop loss for mental health. RCW 48.44.341(2)(c)(i) If the plan has any deductible, it must be for medical, surgical, and mental health – it cannot have a separate deductible for mental health. RCW 48.44.341 (2)(c)(ii) Prescription drugs intended to treat any MH/SUD disorder must be covered to the same extent, and under the same terms and conditions, as other covered prescription drugs. RCW 48.44.342 No preauthorization is required for mental health treatment rendered by a state hospital if the enrollee or covered dependent is involuntarily committed. RCW 48.44.341(3) Health benefit plans may not reduce the number of mental health outpatient visits or mental health inpatient days below the level in effect on July 1, 2002. WAC Plan must cover MH/SUD benefits in every classification in which medical/surgical benefits are provided.