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  • Mental Health Parity Interpretations and Clarifications

    A Trio of Federal Agencies charged with interpreting the Mental Health Parity laws have determined that a plan cannot require pre-authorization of mental health treatments if the same requirement is not imposed on other non-mental health related procedures.

    A plan may not, as a routine matter, approve significantly shorter stays for inpatient mental health and substance abuse treatment than it does for inpatient medical or surgical care, even if extensions of those stays are subject to review.

    Plan sponsors should be aware of these interpretations of the rules not only inĀ  regard to plan design, but with regard to their own (and their vendor’s) administrative practices.

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