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Letter from the President – Happy New Year!

Denise Parent, LMFT

CTAMFT President, Denise Parent, LMFT (president@ctamft.org)

As we enter the New Year, I have been thinking about the communities our collective MFT “family” is embedded in. Last month, I attended fellow member, Nelba Marquez-Greene’s, “Love Wins” conference and admired the Sandy Hook families’ many initiatives to “Choose Love” and carry on the lives of those lost by developing strategies to strengthen communities everywhere.

The Ana Grace Project

The Ana Grace Project

At the Love Wins Conference, Neuropsychiatrist Dr. Bruce Perry talked about the importance of relational connection to survival, saying that optimal human conditions include having about 40 people in our extended relationship circle. He commented that many of our modern day problems have grown out of setting up social structures that create isolation and ignore the fact that humans are not naturally sedentary beings.

This led to me wonder how we as MFTs can more actively connect our “systems” with non-therapy initiatives, as well as join our colleagues in social work, counseling and psychology, to create a stronger community with a coordinated vision to support families? This lofty idea immediately drove me to check Facebook and watch a few minutes of HGTV, because it seemed to imply an enormous amount of work!

MFTs have always believed, at least in theory, that we are already, and always will be, interdependent beings. Possibly the work of connection is merely to remember that we are already connected, and as a social constructionist might say, act “as if?”

This would involve remembering to invite others to our MFT “party,” as well as to attend other, different gatherings to absorb the value they might add to our ideas. It could involve building relationships by committing to providing strong collaborative case management. In keeping with this, we have planned to explore neuroscience as a foundation and extension of our relational perspective at our April conference.

CTAMFT’s Board of Directors has spent a great deal of time reviewing the impact of the MHPAEA final regulations and the Affordable Care Act (ACA) (see Susan Boritz’s article). We have also been discussing what a public relations campaign for MFT in CT might look like, as well as explore what Connecticut organizations and people influence mental health care delivery systems. This year, we hope to move into using these experiences (off the couch now!) in a thoughtful and productive way. You are welcome to join our efforts in whatever way you find meaningful!

Thank you for the many ways you make CTAMFT a vibrant association – by supporting us through your membership, encouraging others to join our membership, participating in CTAMFT initiatives or committees, attending our fall workshop, our spring conference or by shooting us an email when you have a thought or question! As we enter 2014, I wish us all at least 40 connections with friends, family and warm community.

Wishing you health and happiness in the New Year!

Legislative Update, January 2014

Susan Boritz, MA, LMFT
CTAMFT Legislative Liaison (legislation@ctamft.org)
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Mental Health Parity, Affordable Care Act and Access to Treatment

MHPAEA Update
On November 8, 2013, the Obama Administration issued a news release announcing the final regulations/rules for implementation of the Mental Health Parity and Addiction Equity Act (MHPAEA), which was originally enacted in 2008 and implemented under interim rules in July 2010.

By way of background, the purpose of the MHPAEA is to reduce misinformation and stigma about mental illness and addiction, as well as increase access to affordable mental health and addiction services. It’s designed to establish “parity,” or equivalence, between mental health/addiction services and medical/surgical treatment.

Specifically, if a group health plan includes mental health and addiction coverage; out-of-pocket costs, including deductibles, coinsurance and copayments must be the same. If the plan has out-of network benefits for medical/surgical treatment, it must provide equivalent out-of-network benefits for mental health/substance abuse treatment. For a full overview of the MHPAEA, please link here.

MHPAEA Final Regulations/Timing
The final regulations have taken into account research, as well as public input throughout the interim period. These rules prevent most group insurance plans from establishing reduced benefit coverage for mental health and addiction services than other kinds of health care services.

Link here to view the final regulations. Please note these final regulations were effective on January 13, 2014 (except some technical amendments – see rules for details). The mental health parity provisions of these final regulations apply to group health plans and health insurance issuers for plan years (or, in the individual market, policy years) beginning on or after July 1, 2014.

Affordable Care Act Expands on MHPAEA
The Affordable Care Act (ACA) expands on the MHPAEA by considering mental health and substance abuse treatment as one of its 10 essential health benefits categories, thereby requiring that it be included in all health insurance plans sold on the exchanges/marketplace.

In Connecticut, as most Marriage and Family Therapists (MFTs) reading this are no doubt aware, laws governing the sale of commercial insurance are made at the state level and vary considerably from state to state. This is particularly true with respect to mental health and substance abuse benefits.

Connecticut law provides for mandatory coverage for the “diagnosis and treatment of mental or nervous conditions, including alcoholism and drug addiction.” Policies cannot be sold without their inclusion. Information about state health insurance mandates and the ACA essential benefits provisions can be found here.

Despite the fact that Connecticut has among the most progressive laws in the country, Connecticut residents have nevertheless faced roadblocks when they have attempted to access care. In the aftermath of the Sandy Hook shootings, such problems in the system have received considerable attention and criticism. In response, representatives from the insurance industry have teamed up with experts from the UConn Health Center to produce a “Tool Kit” to help consumers navigate the system.

Written in clear and accessible language, the toolkit guides the consumer through the process from contacting his/her insurance company, obtaining pre-authorization, and determining their out-of-pocket expenses. The Behavioral Healthcare Claims Toolkit is available here.

If you have any questions, or would like further information, please contact us at legislation@ctamft.org.

Resources:
• November 8, 2013 News Release Announcing Final Mental Health and Substance Use Disorder Parity Rule

Mental Health Parity and Addiction Equity Act (MHPAEA)

MHPAEA Final Regulations/Timing

ACA 10 Essential Health Benefits

State Health Insurance Mandates & ACA Essential Benefits Provisions

Connecticut Insurance Department Behavioral Health Consumer Tool Kit