Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP
Guidance for : All medical/surgical (M/S) and mental health and substance use disorder (MH/SUD) benefits that are provided through an Alternative Benefit Plan (ABP) in a state Medicaid program; through the Children�s Health Insurance Program (CHIP); or to enrollees of a Managed Care Organization (MCO) (regardless whether the services are furnished by that MCO, a prepaid inpatient health plan (PIHP), a prepaid ambulatory health plan (PAHP), or through a fee-for-service (FFS) delivery mechanism) are subject to parity requirements, regardless of the statutory authority under which they are provided. Is non-emergency medical transportation (NEMT) subject to the parity analysis?
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: October 11, 2017
HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.