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Health Plans: Finding Parity for Mental Health Benefits and Opioid Treatment
Bloomberg BNA
Nov. 3, 2016
"[Recently-issued FAQs] offer guidance to group plans unsure of how to calculate quantitative treatment limitations. MHPAEA regulations state that the quantitative treatment limitations must apply to at least two-thirds of medical and surgical benefits in order to be applied to mental health and substance use disorder benefits. The calculation should be based on the dollar amount of all plan payments for medical and surgical benefits and plans can use any 'reasonable method' to determine that dollar amount."
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