What is the law on mental health care?
In Pennsylvania, mental health care is covered by the state’s Mental Health Parity and Addiction Equity Act (MHPAEA). The MHPAEA requires health plans in Pennsylvania to provide mental health services that are comparable to physical health services. The law prohibits health plans from placing any limitations or exclusions on mental health care that are not applied to physical health care. This means that mental health care must be treated the same as physical care when it comes to services such as the number of visits, deductibles, coinsurance, and copayment. Pennsylvania also requires health plans to provide coverage for mental health services, including both inpatient and outpatient services. This includes substance use disorder services and treatment such as residential treatment, detoxification, and detoxification services. Furthermore, the law requires health plans to include coverage for mental and behavioral health services provided by mental health professionals, such as psychologists and psychiatrists. Health plans in Pennsylvania must also provide coverage for habilitative services, such as occupational, speech, and physical therapy. These services are designed to help individuals learn new skills, restore lost skills, or increase their ability to live independently. The MHPAEA also stipulates that health plans must provide coverage for telehealth services. This means that individuals can access mental health services from the comfort of their home via video or phone call. Health plans must also provide coverage for evidence-based treatments, such as cognitive behavioral therapy and psychotherapy. Overall, Pennsylvania’s Mental Health Parity and Addiction Equity Act ensures that individuals have access to quality mental health care. The law requires health plans to provide coverage for a wide range of mental health services, including inpatient and outpatient services, habilitative services, telehealth, and evidence-based treatments.
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