See some of our upcoming events!
Topics to be covered:
- Mental Health Parity and Addiction Equity Act
Presenter: Scott Leshin, SJ Health Insurance Advocates
- Learn how the rules impact behavioral health coverage decisions.
- Identify key considerations and actions for behavioral health stakeholders.
- What, if any, affect does this have on residential programs that work primarily with ID/DD/Autism populations?
- What federal regulations require for the coverage of mental health and substance use disorder services in states' new health insurance marketplaces and provide examples of advocacy efforts on mental health and substance use disorder coverage?
- How does this impact the pursuit of reimbursement on the full daily rate vs. the therapeutic portion only?
- What should the conversation between programs and parents look like?
Presenter: Karen Fessel, Mental Health and Autism Insurance Project
- Key factors families should consider.
- Understanding their insurance coverage - what does it mean if "residential" is or isn't listed in their benefits?
- How soon should programs refer parents to an insurance advocate?
- What is the importance or value of pre-authorizing versus picking up the process sometime after intake?
- What kinds of things are insurance advocates doing, behind the scenes, to get these reimbursements?
- What can families expect the process to be like? How long before they see money come back? What percentage of reimbursement is realistic to expect? What are insurance advocates' success rates?
- What programs can do internally to make the insurance approval process go more smoothly?
Presenter: Mary Covington, Denials Management, Inc.
- Should invoices follow a specific format? Should a daily rate be split into different cost centers? Are codes required?
- What is required of a program as the family works with an insurance advocate? Is there extra paperwork? How much "extra" time will therapists need to devote in order to help a family get reimbursed?