Mental Health Parity Compliance. (BadgerCare Plus and Medicaid SSI) The BadgerCare Plus and Medicaid SSI HMO must comply with the Mental Health Parity Rule requirements of 42 CFR § 438.930. The Mental Health Parity Rule, in 42 CFR § 438.910(b)(2), requires the HMO to provide mental health or substance abuse benefits to members in every classification in which medical benefits are provided (e.g., inpatient, outpatient, emergency care, prescription drugs). The HMO must not establish any of the following when it has been determined that mental health or substance abuse treatment is medically necessary for the member:
Appears in 5 contracts
Samples: www.forwardhealth.wi.gov, www.forwardhealth.wi.gov, www.forwardhealth.wi.gov
