GGAHU Membership Meeting – Mental Health CE

Date: November 7, 2023
Time: 9:00 am to 11:00 am
Place: Lafayette Library, 3491 Mount Diablo Blvd, Lafayette 94549
Cost: Members Free, Non-Members $20
CE: Course #387253

Is Parity Working?  Mental Health and Substance Use Disorder Claim Advocacy for Brokers

Presented by: Dede Kennedy, Chair of NABIP’s Legislative Council’s Mental Health Working Group

This is an agent’s mental health training course – training brokers on how to assist clients in accessing mental health and substance use disorder treatment and services that are paid for by their insurance. What can and should agents do when clients call with access to care problems? What do we need to know so that we are able and well-trained to help?
Topics:

• Mental Health Fraud, Waste and Abuse
• Mental Health Parity Tequirements:
  • Including Quantitative Treatment Limits (QTL) and Non-Quantitative Treatment Limits (NQTL)
  • NQTL Analysis Tequirements
  • Including SB 855
    • Federal
    • California Parity
• Mental Health workforce shortage, treatment deserts and timely access to care implications.
• Mental health levels of care:
  • The continuum of care between acute inpatient and outpatient therapy.
  • The importance of stepping down or up to different treatment levels.
  • Telemedicine – the mental health promise, current reality and impact on workforce shortages and treatment deserts.
• Mental Health Coverage – where to find details in SBCs and SOBs.
• Mental Health, HIPPA, Authorized Agent and Advance Directives
• Mental health medical necessity.
• Coaching clients on navigation of referrals, authorizations, appeals, grievances.
• How to write a mental health appeal.
• What is and is not the role of the agent.

To learn more, visit www.ggahu.org or contact GGAHU at 916.239.4090 or nathan@camgmt.com.

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