That doesn't obviate the reality that "medically necessary treatment" under Medicare, Medicaid, or the Affordable Care Act still require CPT codes and authorization. You have "access to care," but it is still managed care.

Ask your social worker or MFT what company manages your mental health benefits and you will likely find it is Magellan or some other company hired by your state to provide blanket services to all persons under Medicaid if that is how you receive services. If through Medicare, much the same. Through a private insurance company, again... the same.

What you consider "medically necessary" and what the managed care or other service which administers mental health services will authorize are often two very different things. "Medical necessity" can be argued and oftentimes additional services will be granted, HOWEVER the Affordable Care Act isn't an open door policy or a "right to unlimited services."