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Mental Health (MH) and Substance Use Disorder (SUD) Parity

Learn about Parity
The federal parity law does not allow managed care organizations to apply more restrictions or limitations on substance use disorder or mental health benefits than are placed on medical or surgical benefits. Learn what parity is, how it affects you and how the Department of Health and Human Services is overseeing the law. Both in-person and webinar sessions are available.

Invitations to New Hampshire Medicaid Members and Providers
Enrolled in NH Healthy Families or Well Sense Health Plan:

July 3, 2017
DHHS has finalized the tools to be used by New Hampshire’s two Managed Care Plans, Well Sense Health Plan and New Hampshire Healthy Families, to complete the Parity Analysis. The Plans will complete the analysis and submit their findings to DHHS no later than September 15, 2017. DHHS will review the Plans’ findings and develop a report of the findings for submission to the CMS in October 2017. Findings of the Parity Analysis will be made public through posting on this web page.

In March of 2016 the Centers for Medicare and Medicaid Services (CMS) finalized a rule to strengthen access to mental health (MH) and substance use disorder services (SUD) for people with Medicaid, Children’s Health Insurance Program (CHIP), or Alternative Benefit Plan (ABP) coverage, similar to the requirements that were already in place for private health insurance plans.

In summary, the rule requires Medicaid Managed Care Plans, Children’s Health Insurance Programs and Alternative Benefit Plans to ensure that they are not placing limits on access to MH or SUD services that are not similarly applied to medical/surgical services.
In order to ensure that inappropriate limits are not being placed on these services, the NH Department of Health and Human Services [NHDHHS] is required to conduct a Parity Analysis and submit the results of this analysis to the Centers for Medicare and Medicaid Services no later than October 2, 2017.

This website is intended to provide information about NH’s Medicaid Program Parity Analysis process. Stakeholder feedback is invited and encouraged, as are questions about the Parity Analysis process.

For questions or suggestions, email: nhparity@dhhs.nh.gov

As further information becomes available, it will be posted on this website.

See the March 2016 Parity Final Rule: Medicaid and Children's Health Insurance Programs; Mental Health Parity and Addiction Equity Act of 2008; the Application of Mental Health Parity Requirements to Coverage Offered by Medicaid Managed Care Organizations, the Children's Health Insurance Program and Alternative Benefit Plans

"The Path to Parity" Adobe Acrobat Reader Symbol a New Hampshire Insurance Department presentation (5/19/2017)

"Resource Guide For Addiction and Mental Health Care Consumers" Adobe Acrobat Reader Symbol published by New Futures (September 2016)

Adobe Acrobat Reader Symbol Adobe Acrobat Reader format. You can download a free reader from Adobe.

 

 
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