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Follow on Google News | Mismanagement of Tax Dollars - Provider Medicaid ReimbursementsExcessive mental health denials for treatment from insurance companies prevents early intervention and continuum of care.
By: Elevate Healthcare Unnecessarily restrictive policies that prevent or delay receipt of services can undermine coverage of evidence-based services. Mental health providers are increasingly raising concerns that some utilization management practices, such as excessive prior authorization requirements for outpatient services, prevent or delay access to stabilization and potentially lifesaving mental health care. State and federal policymakers — including CMS — should assess current utilization management strategies to determine whether policies create barriers to care. Federal law requires insurers to design plans that treat mental illness similarly to physical conditions such as diabetes. These fairly new regulations stop companies from gouging people financially for behavioral care that they need, But there's a loophole that these insurance companies have been using — especially now, during times when money is tight for them — that is making it much more challenging for people to get affordable mental health treatment. Here's a little more on that aforementioned loophole in the Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008: That act mandates that insurance companies cover mental health. End
Page Updated Last on: Jun 24, 2022
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