Issue link: https://blog.providence.org/i/1035653
Evaluating State Mental Health and Addiction Parity Statutes: A Technical Report 18 Appendix A: Glossary of Terms Behavioral Health: An all-encompassing term for both mental health and substance use disorders. This includes the full spectrum of conditions covered in the American Psychiatric Association's Diagnostic and Statistical Manual of Disorders (DSM). NOTE: To avoid confusion, throughout this report we use the phrase "mental health and substance misuse/abuse conditions" or "mental health and substance use disorders" Centers for Consumer Information and Insurance Oversight (CCIIO): A federal department within the Centers for Medicare and Medicaid Services (CMS) that is charged with helping implement many ACA reforms. County and Municipal Employee Health Plan: A health plan for non-federal government employees, including school districts. Diagnostic and Statistical Manual of Mental Disorders (DSM): A manual published by the American Psychiatric Association that offers common language and standards criteria health professionals use in the diagnosis of behavioral health conditions. The most recent version is the DSM-V, but many laws and regulations still refer to the DSM-IV, which was in use from 1994-2013. Financial Requirements: A requirement where enrollees must pay a certain amount before their health insurance coverage begins. Examples include deductibles, copayments, coinsurance, and out-of-pocket expenses. Fully-Insured Plan: Health plans that employers purchase from an insurance company to provide their employees with health benefits. These health plans are regulated by state insurance departments. Individual Plan: Health plans that individuals can purchase for themselves. Individuals who purchase these plans normally do not receive health insurance through their employer. These health plans are regulated by state insurance departments. Inpatient Care: Treatment delivered to an individual in a hospital or a sub-acute treatment facility.