Federal Offices Find Persistent Gaps In Mental Health Parity Enforcement

A report to Congress from three government offices reported that, while payers are making strides in addressing disparities around mental health and addiction care services, these payers are still falling short of achieving parity under the Mental Health Parity and Addiction Equity Act (MHPAEA). The MHPAEA requires plans and insurers to perform and document comparative analyses of the design and application of their nonquantitative treatment limitations (NQTLs) NQTLs, such as prior authorization requirements, and treatment exclusions. The entities must demonstrate that NQTLs applied to their plan’s mental health/substance use disorder (MH/SUD) benefits are not more restrictive than . . .