Mental Health Parity

State and federal laws regarding mental health benefits and services

Under state and federal laws, benefits for mental health services and substance use disorder services must be comparable to benefits for medical/surgical services. This means that copayments, coinsurance and deductibles for mental health and substance use disorder services must be at the same level as those for medical/surgical services. Also, Tufts Health Freedom Plan’s review and authorization of mental health and substance use disorder services must be handled in a way that is comparable to the review and authorization of medical/surgical services.

Treatment for members who are covered under any of the mental health parity laws may still need to meet medical necessity guidelines. Therefore, under parity some plans may still require authorization.

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Provider Update Newsletter

Tufts Health Plan distributes its Provider Update* newsletter by email. In order to receive Provider Update, you must complete the online registration form.

*Copies of this information can be made available upon request by calling the appropriate Tufts Health Plan Provider call center.

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