Behavioral Health and Substance Use Resources
Mental health services
More than half of Americans will have a mental health diagnosis in their lifetime. 1 in 25 Americans live with a severe mental illness. Mental health issues may include:
bipolar disorder
major depressive disorder
post-traumatic stress disorder
schizophrenia
depression
You're not alone if you or your family member are facing mental health or substance abuse issues. We're here to help you choose the right services through your health insurance plan. Explore this page to find information and resources for behavioral health and substance use services.
Reference:
Serious Mental Illness | University of Connecticut Health Leaders (UCHL)
You're not alone if you or your family member are facing mental health or substance abuse issues. We're here to help you choose the right services through your health insurance plan. Explore this page to find information and resources for behavioral health and substance use services.
Reference:
Serious Mental Illness | University of Connecticut Health Leaders (UCHL)
View the behavioral health consumer tool kit
Learn how to navigate behavioral health and substance abuse care through your health insurance plan.
Helpful tips
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, 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.
Fast facts about mental health parity laws
State
As of January 1, 2000, Connecticut law requires that all health insurance policies cover mental health benefits. This law applies to individual and group health insurance policies, including hospital, medical-surgical, primary medical, and HMO coverage for mental health benefits.
Federal
Large group plans must follow the mental health parity requirements as mandated by the federal Mental Health Parity and Addition Equity Act (MHPAEA). The MHPAEA was enacted in 2008.
ACA
On March 23, 2010, the federal Affordable Care Act was enacted. It requires all individual and small group plans beginning January 1, 2014, to cover mental health benefits. This act is already in effect under Connecticut state law. It extends federal mental health equality protection to all health plans.
Contact information
The Connecticut Insurance Department is here for you.
Contact the department if your insurance company isn’t answering your questions or paying your claims. If you have questions, please contact our Consumer Affairs Unit at:
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)
Optum, Inc. (formerly Change Healthcare)
MCG Health, LLC
For guidance regarding Vendor Qualifiction Requirements, please review CID Bulletin HC-105: Behavioral Health Statutory Clinical Review Criteria Requirements
For guidance regarding Vendor Qualifiction Requirements, please review CID Bulletin HC-105: Behavioral Health Statutory Clinical Review Criteria Requirements