For Questions about mental health service call 800-203-3447

The Connecticut Insurance Department wants consumers to have the appropriate information and available resources when seeking behavioral health and substance abuse services through their health insurance plans.

  • Know Your Insurance Plan – Find out what’s covered and how to get the care you need from your health plan.
  • Make Informed Decisions – What you need to know about mental health coverage.
  • Research First – Contact your insurer and learn about in-network providers.
  • Seek “Medical Necessity” Approval – Except in an emergency situation, your health plan may require information from your doctor about the services you need.
  • Determine Your Out-of-Pocket Expenses – Learn about costs for in-network and out-of-network providers and care.
  • Review the Consumer Toolkit – Learn how to navigating behavioral health and substance abuse care through your health insurance plan

Consumer Resources:


State: Enacted January 1, 2000, Connecticut law requires all individual and group health insurance policies covering hospital, medical-surgical, major medical and HMO coverage to provide mental health benefits.

Federal: The federal Mental Health Parity and Addiction Equity Act (MHPAEA) was enacted in 2008 and mandates that large group plans be compliant with mental health parity if such mental health benefits are provided.

ACA: The federal Affordable Care Act, enacted on March 23, 2010, requires individual and small group plans beginning January 1, 2014, to cover mental health benefits, a provision already in effect under Connecticut state law and extends federal mental health parity protection to these plans.

Other Resources:

Qualified Clinical Review Vendors

The following vendors have been approved as Qualified Vendors for behavioral health utilization review criteria by the Connecticut Insurance Department pursuant to Conn. Gen. Stat. Sec. 38a-591(c)

  • Health Integrated, Inc.
  • MCG Health, LLC
  • Change Healthcare

Bulletin HC-105: Behavioral Health Statutory Clinical Review Criteria Requirements

The Connecticut Insurance Department is here for you. Contact the department if your insurance company isn’t being helpful in answering your questions or paying your claims. If you have questions, please contact our Consumer Affairs Unit at:

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CT Insurance Department Consumer Brochure For All Your Insurance Needs