I need help with coverage for mental health or addiction treatment under ACCESS Florida/Florida KidCare.
If you (or a family member) have been denied a health benefit in error, you may be protected by Mental Health and Addiction Insurance “Parity” laws. Assistance is available.
Not the type of insurance you have? See other options.
Visit Florida Agency for Health Care Administration Contacts for assistance.
You may also call 1-866-762-2237 for more information.
If you are looking for mental health or addiction services for children, visit the Florida KidCare website.
Representatives in your state are available to help you find out more information about your rights and protections under your health care coverage provided by Medicaid or CHIP. If you believe you have been denied a health benefit you should be receiving, ACCESS Florida or Florida KidCare can connect you to important information about your health care coverage.
For more information about how parity laws apply to health care coverage in Medicaid and CHIP programs, visit Medicaid.gov Behavioral Health Services.
Mental Health Benefits Protections under Parity and Addiction Equity Act of 2008
The Mental Health Parity and Addiction Equity Act (MHPAEA or “parity”) requires most Medicaid and CHIP programs (health coverage) to apply the same rules to coverage for mental health and substance use disorder (MH/SUD) services as they do for coverage for physical health services.
Health benefits are physical health, mental health, and substance use disorder services paid for through your Medicaid or CHIP program. If you have been denied a health benefit in error, you may be protected by Mental Health and Addiction “Parity” laws.
States have until October 2, 2017 to make any potential changes to their Medicaid and CHIP programs that are required under the federal parity laws, but your questions or comments may provide useful information about concerns that may need to be addressed.
See this publication: Know Your Rights: Parity for Mental Health and Substance Use Disorder Benefits for more information about consumer rights for all types of insurance under parity.
In October 2016, the President’s Mental Health and Substance Use Disorder Parity Task Force issued a final report that outlined recommendations and took some initial steps to implement the recommendations to further advance parity in behavioral health insurance benefits.
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