Health plans must demonstrate mental health parity compliance with clear, documented evidence

States Are Enforcing Mental Health Parity Compliance

States are stepping up enforcement of Mental Health Parity requirements. California, Colorado, New York, Rhode Island and Oregon are advancing their own compliance requirements, increasing scrutiny on health plans.

Regulators now expect plans to demonstrate mental health parity compliance with clear data, documentation and accountability.

URAC offers the nation’s only accreditation program dedicated to mental health parity, providing independent validation of the structures and processes required to meet these expectations.

URAC’s ParityManager® software and Mental Health Parity Accreditation work together to give organizations a clear, practical path to strengthen compliance with both federal and evolving state regulations.

States are Starting To Step Up Enforcement Of Mental Health Parity Requirements

States are holding payers accountable to cover mental health and substance use disorders no more restrictively than physical health by enforcement of the  Mental Health Parity and Addiction Equity Act (MHPAEA).

Georgia issues $25M in fines to 11 insurers over mental health parity violations

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Washington state fines Kaiser health plan for mental health parity violations

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Aetna fined $550K in Pennsylvania for mental health parity violations

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Mental Health Parity Accreditation

Mental Health Parity Accreditation provides independent validation that an organization meets federal and state parity requirements. It evaluates NQTL analysis, governance, documentation and ongoing monitoring, helping organizations demonstrate compliance with confidence.

ParityManager, a software solution for Mental Health Parity Compliance

ParityManager® can be used by health plans, third-party administrators and other organizations to evaluate, build and maintain their parity compliance programs, even if they are not pursuing accreditation. This stand-alone solution serves as a practical self-assessment tool to support ongoing compliance.