Under the Mental Health Parity and Addiction Equity Act, health insurers must cover mental health and substance use disorder care at equivalent levels as medical or surgical care. Illinois state laws have expanded those requirements.
According to a July 15 news release, the department issued fines against Cigna, UnitedHealthcare, Health Care Service Corp. and Celtic after an examination found the health insurers violated the laws. Violations included failure to use medical necessity guidelines and meet prior authorization requirements. Fines ranged from $208,000 to $582,000 per insurer.
More articles on payers:
UnitedHealth’s earnings double in Q2 as patients deferred elective procedures
Humana to hire 200
Splitting health, dental insurance may be thing of the past
Becker’s 3rd Annual Fall Chief Pharmacy Officer Summit is the top tier event that the people leading the future of pharmacy convene. This 3-day event is built specifically for Chief Pharmacy Officers and senior pharmacy leaders. The sessions examine the workforce, financial and clinical priorities shaping pharmacy today. Becker’s is where candid discussions flourish and new ideas thrive. Becker's 3rd Annual Fall Chief Pharmacy Officer Summit
