The Indiana Department of Insurance (IDOI)released a training resource manual for Indiana navigators. Among other things, the manual has a table that demonstrates which plans must comply with state parity laws.
The IDOI also has a list of state required benefits. This includes a section on mental health benefits. The document details which plans have to comply with the mandate and the associated statutory citations.
Primary Focus: Access to Services Agency: Division of mental health and addiction Title/Description: Determining need for a new opioid treatment program Citation: 440 Ind. Admin. Code 10-2-3 Summary: Outlines the requirements and factors needed in order to propose a new opioid treatment program in a geographic location. Some factors include emergency room reports including opioid misuse; death reports including opioid misuse, and the presence of pain clinics in the area. Effective Date: Oct 12, 2016 Notes: N/A
Primary Focus: Parity Agency: Office of the Secretary of Family and Social Services Title/Description: Mental Health Parity Citation: 405 Ind. Admin. Code 10-7-5 Summary: Coverage of mental health care services are subject to the same treatment limitations or financial requirements as coverage of services for physical illness. Effective Date: May 18, 2015 Notes: N/A
The document also explains that any treatment limitations in place for physical, occupational, or speech therapy do not apply to applied behavior analysis.
The IDOI issued a bulletin(pdf | Get Adobe® Reader®) about the sections of state law about autism coverage. It clarified that a psychologist or physician specializing in pervasive developmental disorder services may sign the treatment plan for a child with autism spectrum disorder; it does not have to be the child’s primary care practitioner.
Primary Focus: Parity Agency: Department of Insurance Title/Description: Coverage Requirements Citation: 760 Ind. Admin. Code 1-68-4 Summary: Requires Multiple Employer Welfare Arrangements (professional employer organization) to comply with the federal Mental Health Parity Act. Effective Date: Original effective date April 15, 2003 Notes: Readopted filed November 20, 2015.
Here are the relevant sections of the law: It is not possible to provide direct links to the specific subsections. You must scroll manually to the proper subsection once the link takes you to the appropriate title, article, and chapter. The specific subsections are listed next to each link.
Except for the section about commercial plans, It is not possible to provide direct links to the specific subsections. You must scroll manually to the proper subsection once the link takes you to the appropriate title, article, and chapter. The specific subsections are listed next to each link.
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