Mental Health Parity. The Contractor and its providers must comply with the Mental Health Parity and Addiction Equity Act of 2008 and 42 CFR 438 Subpart K, including the requirements that treatment limitations applicable to mental health or substance use disorder benefits are no more restrictive than the predominant treatment limitations applied to substantially all medical and surgical benefits covered by the Contractor and there are no separate treatment limitations that are applicable only with respect to mental health or substance use disorder benefits.
Mental Health Parity. Effective January 1, 2007, Swedish's self-insured benefit plans shall include mental health benefits that are at least equal to the terms and conditions of member health benefits as mandated by the Mental Health Parity Law of 2005, substitute House Xxxx 1154. SWEDISH MEDICAL CENTER SEIU HEALTHCARE 1199NW, HOSPITAL AND HEALTH CARE EMPLOYEES UNION Xxx Xxxxxxx, M.D., Chief Executive Officer Xxxxx Xxxxx, RN, President Date Date MEMORANDUM OF AGREEMENT #2 Between SWEDISH MEDICAL CENTER and SEIU Healthcare 1199NW ADDITIONAL FACILITIES Swedish Medical Center unless superseded by law agrees that:
Mental Health Parity. Effective January 1, 2007, Swedish’s self insured benefit plans shall include mental health benefits that are at least equal to the terms and conditions of member health benefits as mandated by the Mental Health Parity Law of 2005, substitute House Bill 1154.
Mental Health Parity. 15.1 Humana and Hospital must comply with applicable requirements of the Mental Health Parity and Addiction Equity Act of 2008 and 42 C.F.R. 438 Subpart K, including the requirements that treatment limitations applicable to mental health or substance abuse disorder benefits are no more restrictive than the predominant treatment limitations applied to substantially all medical and surgical benefits covered by Humana and there are no separate treatment limitations that are applicable only with respect to mental health or substance use disorder benefits.
Mental Health Parity. 2.3.11.1 The Contractor shall comply with the Xxxx Xxxxxxxxx and Xxxx Xxxxxxxx Mental Health Parity and Addiction Equity Act of 2008, which requires parity between mental health or substance use disorder benefits and medical/surgical benefits with respect to financial requirements and treatment limitations. The Contractor shall comply with all requirements set forth in 42 C.F.R. Part 438 Subpart K, for all Medicaid managed care enrollees.
Mental Health Parity. Provider shall cooperate with Health Plan’s Mental Health Parity and Addiction Equity (MHPAEA) policies and procedures and shall not discriminate against Covered Persons requiring mental health and/or addiction services. (SC App. B §8)
Mental Health Parity. The parties acknowledge and agree that Employer is solely responsible for complying with all applicable provisions of ERISA and other laws applicable to Employer’s Plan, including the Mental Health Parity and Addiction Equity Act and its implementing regulations, as amended from time to time (“MHPAEA”). XxxxXxxxx agrees to cooperate with Employer in providing information reasonably requested by Employer or its designee in order for Employer to comply with these obligations.
Mental Health Parity. Pursuant to the Mental Health Parity and Addiction Equity Act of 2008, this Plan applies its terms uniformly and enforces parity between covered health care benefits and covered mental health and substance disorder benefits relating to financial cost-sharing restrictions and treatment-duration limitations. For further details, please contact the Plan Administrator.
Mental Health Parity. The new MHPAEA rules state that health plans cannot have separate deductibles and separate out-of-pocket maximums for both medical and mental health/chemical dependency benefits. The Company proposes a combined deductible and out-of-pocket maximum for both medical coverage and mental health coverage as follows: Anthem Blue Cross Network Access Plan (NAP) Provision NAP In-Network CAP Benefits NAP Out-of-Network (Does not apply to CAP) Combined Medical, Mental Health and Chemical Dependency Deductible $120 per person $320 family maximum $240 per person $680 family maximum Combined Medical, Mental Health and Chemical Dependency Out-of-Pocket Maximum $750 per person $1,500 family maximum $1,000 per person $2,000 per person SmartValue Medicare Advantage Private Fee-for-Service (PFFS) Plan Effective in 2011, the Company proposes to eliminate the SmartValue Medicare Advantage PFFS Plan due to changes made to PFFS plans by the 2008 Medicare Improvements for Patients and Providers Act (MIPPA). Retirees who do not elect a new health care plan during the 2010 Open Enrollment period will default to the Anthem Blue Cross Comprehensive Access Plan effective January 1, 2011. Xx. Xxx Xxxxxxx -2- July 9, 2010 L/A 10-31-PGE Adult Child Dependents The PPACA requires that adult children up to age 26 be offered coverage through their parent’s group health plan if they have no access to other employer sponsored coverage, effective January 2011. So that all dependent children are treated alike, the Company proposes to provide medical, dental, vision and EAP coverage to these newly eligible dependents, which is beyond the scope of the PPACA. The regulations do not currently state that this dependent group health coverage must be extended to retirees’ adult children up to age 26; however, the Company proposes to also extend medical coverage to retirees’ adult children up to age 26.
Mental Health Parity. Contractor may cover, in addition to services covered under the State Plan, any services necessary for compliance with the requirements for parity in mental health and substance use disorder (MH/SUD) Benefits in 42 C.F.R. part 438, subpart K and 42 C.F.R. section 457.496 (as appropriate to the Enrolled Member), and the Contract identifies the types and amount, duration and scope of services consistent with the analysis of parity compliance conducted by either the State or the MCO. See: 42 C.F.R. § 438.3(e)(1)(ii); 42 C.F.R. § 457.1201(e). {From CMSC F.6.15}. F.6.32. Contractor may cover services or settings for Enrolled Members that are in lieu of those covered under the State Plan if:
