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Originally Posted by IWonderIf
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."
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I think you may have skipped over the part of my response that mentioned my mental health benefits do, in fact, go through Magellan. Of course the codes still exist but as long as it is needed I can continue. It's not blanket coverage. Many mental health issues require long term care depending on individual situations.
Maybe it has something to do with the state I reside in. This state has it's own healthcare system in place so we aren't required to use the federal one.
It is standard in all plans now. Mental health coverage used to be extra/optional. The new laws apply to Magellan and CHIPPA and others. And no, I pay for an individual plan and do not go through government assisted healthcare, but I know many who do.
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