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New Federal Rule Means Big Changes in Coverage of Behavioral Healthcare
Healthcare Financial Management Association [HFMA]; registration may be required Link to more items from this source
[Guidance Overview]
Sept. 11, 2024

"For health plans offering benefits that cover mental-health and SUD conditions, the final rule calls for ensuring the benefits are meaningful as determined by whether the benefits are comparable to medical/surgical benefits in the same classification and cover at least one core treatment in each classification.... Compliance with the rule will be monitored via results of a comparative self-analysis conducted by plans ... The departments can then review a plan's analysis, with plans required to submit the analysis within 10 business days of the request."  MORE >>

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