Shapiro Administration Directs Insurers to Meet Obligations for Autism Coverage Under Mental Health Parity Laws
Insurance
DHS Issues Children’s Providers Survey on Insurance Coverage
The Pennsylvania Insurance Department (PID) and the Pennsylvania Department of Human Services (DHS) have put a survey together to try to gain an understanding of the insurance market for both foster care and childcare providers. Both agencies have heard about difficulties experienced by these providers in finding insurance coverage, coupled with the rising cost of insurance for foster care and childcare. You can also read the letter from Acting DHS Secretary Valerie Arkoosh as well as Acting Commissioner of the PA Insurance Department Michael Humphrey, which outlines the importance of completing the survey. Complete the survey here.
Please share this survey where you feel appropriate, and reach out with any questions or concerns you may have. This survey will close Monday, July 31, 2023. Feel free to contact PID’s Caolinn Martin or DHS’ Jameekia Barnett with questions regarding the survey. If you have any additional questions, please contact RCPA MH Policy Director Jim Sharp.
Shapiro Administration Strengthens Mental Health Parity Review for 2024 Health Plans
Pennsylvania Acting Insurance Commissioner Michael Humphreys announced today that the Pennsylvania Insurance Department (PID) has strengthened its review of mental health and substance use disorder coverage in 2024 health plans. Insurers under PID regulation must file their plans with the Department for approval. Now, for 2024 filings, PID is enhancing its compliance review of mental health and substance use disorder parity requirements to prevent potential violations before they have a chance to harm Pennsylvania consumers.
Insurance Department Reminds Pennsylvanians of Mental Health, Addiction Treatment Parity Laws
In recognition of Mental Health Awareness Month, the Pennsylvania Insurance Department is highlighting its continued work to ensure that insurers operating within the commonwealth are following state and federal parity laws, allowing those faced with mental health or substance use disorders continued access to needed care.
Under the Affordable Care Act (ACA) and Mental Health Parity and Addiction Equity Act (MHPAEA), health insurance plans and insurers must offer mental health and substance use disorder benefits that are no less restrictive than their coverage for medical or surgical care. These benefits include quantitative limitations (copays, deductibles, and limits on inpatient or outpatient visits that are covered) and non-quantitative limitations (pre-authorizations, providers available through a plan’s network, and what a plan deems “medically necessary”).
Lack of Telehealth Law in Pennsylvania a Major Headache for Patients Who Need It Most
