Evaluating State Mental Health and Addiction Parity Statutes: A Technical Report
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Quantitative Treatment Limitations: A medical management practice that is measurable.
Examples include outpatient visit limits and inpatient day limits.
Residential Treatment: Treatment delivered in a setting where the patient is in the treatment
facility 24 hours a day for a designated number of days.
Self-Insured Plan: A health plan where an employer covers their employees' health insurance
utilization with the employer's own money rather than purchasing a health plan from an
insurance company. These plans are regulated by the Department of Labor except for non-
federal governmental plans, which are regulated by the states and CCIIO.
Small Group Plan: Generally, a health plan with 50 or fewer employees. However, in some
states, this number was changed to 100 or fewer after January 1, 2016.
State Departments of Insurance: Any state agency/department that implements and
enforces state and federal law governing behavioral health coverage.
