Mental Health Parity
This webinar will take a deep dive into the world of Mental Health Parity compliance and explain what a NQTL analysis is, what a QTL calculation is, who is subject to these provisions, how reporting works, and many more nuanced pieces of this Mental Health Parity puzzle.
The Mental Health Parity Act of 1996 was passed nearly three decades ago, but that statute did not become permanent until the Mental Health Parity and Addiction Equity Act (MHPAEA) was passed in 2008. This passage of the MHPAEA began a decades-long struggle to enforce the statute that is now colloquially referred to as the Mental Health Parity Law. Over ten years later, the mental health parity testing requirement for group health plans within the Consolidated Appropriations Act of 2021 has bolstered these MHPAEA enforcement efforts. Under the MHPAEA, parity analyses are performed separately on quantitative treatment limitations (QTLs) and non-quantitative treatment limitations (NQTLs).
What are QTLs and NQTLs? Both analyses seek to ensure that more restrictive limitations are not being placed on mental health/substance use disorder (MH/SUD) benefits than they are on medical/surgical (M/S) benefits. Quantitative treatment limitation (QTLs) calculations include items like copayments and annual visit limits and are based on real claims experience. Non-quantitative treatment limitation (NQTLs) analyses are performed on more abstract limitations, such as prior authorization requirements or formulary design.
Previous Fireside Chats
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