Report Shows Illinois Failing to Provide Addiction Benefits Mandated by Law

The National Center on Addiction and Substance Use conducted a comprehensive review (UNCOVERING COVERAGE GAPS: A REVIEW OF ADDICTION BENEFITS IN ACA PLANS)  of the addiction benefits offered in the 2017 Essential Health Benefits (EHB) benchmark plans. The ACA mandates coverage of substance use disorder services, and requires that these benefits be provided at parity, meaning … Continued

What the New CMS Final Parity Rule Means for MCOs in Illinois

The new final rule from the Centers for Medicare & Medicaid Services (CMS) provides guidance on how provisions of the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) apply to Medicaid managed care organizations (MCOs), Medicaid alternative benefit plains (ABPs), and the Children’s Health Insurance Program (CHIP). This final rule, released March 29, 2016 and … Continued

Unfavorable Opinion from the Second Circuit Holding Psychiatrists, Associations Lack Standing in Parity Case

In an opinion on May 13th, the U.S. Court of Appeals for the Second Circuit affirmed the dismissal of claims brought by psychiatrists and professional associations against four health insurers for alleged violations of the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) and the Employee Retirement Income Security Act (ERISA) when they … Continued