The American Medical Association CPT Editorial Panel released eight standardized and permanent codes for billing applied behavioral analytics (ABA) therapy services that became effective January 1, 2019. For the first time, adaptive behavior services are standardized for the purposes of billing and payment for those services by CMS and other third-party payors. This should be …
Court Rules UBH Coverage Guidelines a Monumental Fixer-Upper
Earlier this month, on March 5, 2019, the U.S. District Court in the Northern District of California filed a 106-page Findings of Fact and Conclusions of Law in the class action Wit v. United Behavioral Health (“UBH”). Here are the highlights: Under ERISA, Plaintiffs asserted two claims against UBH based on UBH’s Level of Care …
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Mental Health Parity Really Does Mean Equal Benefits
In Danny P. v. Catholic Health Initiatives, 891 F.3d 1155 (9th Cir. 2018), the Ninth Circuit clarified the full extent of the “parity” required in the federal mental health parity law1 which has been in place since 2008. The Case In Danny P., the Ninth Circuit held that a particular group health plan (the Catholic …
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Dickinson Wright’s Behavioral Health Care Group Writes Book for AHLA
Dickinson Wright Attorneys Greg Moore, Russell Kolsrud, Peter Domas, Serene Zeni, and Alexandra Hall wrote and edited The Fundamentals of Behavioral Health Care Law, which is now available through the American Health Lawyers Association. With more than 50 years of combined experience, Dickinson Wright’s Behavioral Health Care lawyers continue to guide their clients through the …
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