Mental Health & Autism Health Project Web Resources
The Fair Health Medical Cost Lookup offers information on estimated costs for healthcare professionals’ services.
Requires health insurance providers to provide coverage for behavioral health, including autism spectrum disorders.
MHPAEA requires that the financial requirements (such as coinsurance) and treatment limitations (such as visit limits) imposed on mental health and substance use disorder benefits cannot be more restrictive than the predominant financial requirements and treatment limitations that apply to substantially all medical/surgical benefits.
This CA act requires that the services provided by health care service plans be available to enrollees at reasonable times and makes a violation of its provisions a crime.
Allows you to file complaints against employer-funded ERISA health plans.
2015 Plans must make arrangements to provide out-of-network care at in network prices when there are insufficient in-network care providers
2013 Plans may not deny ABA therapy based on it being "experimental." They may not require cognitive testing, and they may not require a state licensure if the provider is a BCBA.
stating insurers must continue to provide existing coverage of treatment until an appeal is resolved.
Section 147.136 F (2) (iii) Requirement to provide continued coverage pending the outcome of an appeal. A plan and issuer subject to the requirements of this paragraph (b)(2) are required to provide continued coverage pending the outcome of an appeal. For this purpose, the plan and issuer must comply with the requirements of 29 CFR 2560.503-1(f)(2)(ii), which generally provides that benefits for an ongoing course of treatment cannot be reduced or terminated without providing advance notice and an opportunity for advance review.
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