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NEW YORK STATE DEPARTMENT OF HEALTH DIVISION OF HEALTH PLAN CONTRACTING AND OVERSIGHT ARTICLES 44 AND 49 STATEMENT OF DEFICIENCIES NAME OF MANAGED CARE ORGANIZATION Empire Blue Cross Blue Shield HealthPlus
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Individuals seeking mental health and substance abuse treatment.
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HealthPlus MH Parity Focus is a regulatory framework aimed at ensuring that mental health and substance use disorder benefits are provided by insurance plans on par with medical and surgical benefits.
Health plans and insurers that offer both mental health and medical/surgical benefits are required to file HealthPlus MH Parity Focus.
To fill out HealthPlus MH Parity Focus, organizations must provide detailed information on their coverage, treatment options, and compliance measures with parity regulations.
The purpose of HealthPlus MH Parity Focus is to ensure that individuals have equal access to mental health and substance use disorder treatment as they do for physical health care.
Information required includes coverage details, financial requirements, treatment limitations, and network adequacy for mental health and substance use services.
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