Consistency of Large Employer and Group Health Plan Benefits with Requirements of the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008. Acronyms


ABA applied behavioral analysis
ABD adverse benefit determination
ASAM   American Society of Addiction Medicine
BLS DOL Bureau of Labor Statistics
CBO Congressional Budget Office
CHIP Children's Health Insurance Program
CMS HHS Centers for Medicare and Medicaid Services  
DOL U.S. Department of Labor
DRG diagnosis-related group
E&M evaluation and management
ECT electroconvulsive therapy
EHB essential health benefit
EOB explanation of benefit
ER emergency room
ERISA Employee Retirement Income Security Act
FEHBP Federal Employee Health Benefit Plan
GAO U.S. Government Accountability Office (previously General Accounting Office)  
HHS U.S. Department of Health and Human Services
HRET Health Research and Education Trust
IFR Interim Final Rule
IOP intensive outpatient program
IP INN MH Inpatient In-Network Mental Health
IP INN SUD Inpatient In-Network Substance Use Disorder
IP OON MH Inpatient Out-of-Network Mental Health
IP OON SUD   Inpatient Out-of-Network Substance Use Disorder
KFF Kaiser Family Foundation
MBHO managed behavioral healthcare organization
MH mental health
MHPAEA Mental Health Parity and Addiction Equity Act
NAICS North American Industry Classification System
NCS National Compensation Survey
NQTL non-quantitative treatment limitation
OOP out-of-pocket
OP INN MH Outpatient In-Network Mental Health
OP INN SUD Outpatient In-Network Substance Use Disorder
OP OON MH Outpatient Out-of-Network Mental Health
OP OON SUD Outpatient Out-of-Network Substance Use Disorder
OP OV INN MH Outpatient Office Visit In-Network Mental Health
OP OV INN SUD Outpatient Office Visit In-Network Substance Use Disorder
OP OV OON MH Outpatient Office Visit Out-of-Network Mental Health
OP OV OON SUD Outpatient Office Visit Out-of-Network Substance Use Disorder  
OP-Other INN MH Outpatient-Other In-Network Mental Health
OP-Other INN SUD   Outpatient-Other In-Network Substance Use Disorder
OP-Other OON MH Outpatient-Other Out-of-Network Mental Health
OP-Other OON SUD   Outpatient-Other Out-of-Network Substance Use Disorder  
PBM pharmacy benefits management
PCP primary care physician
PDD Plan Design Database
PHS Act Public Health Service Act
PMPM per member per month
PPACA Patient Protection and Affordable Care Act
QTL quantitative treatment limitation
RFI Request for Information
RTF residential treatment facility
Rx prescription drug
SCP specialty care physician
SMI serious mental illness
SNF skilled nursing facility
SPD summary plan description
SUD substance use disorder
UCR   usual, customary, and reasonable  


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