BHPA® Core 1 Course

Legislative and Historical Perspectives of MHPAEA

 

We are excited to announce that we are actively offering the BHPA® Core 1 course, Legislative and Historical Perspectives of MHPAEA. This course is the first of four required courses specifically developed by IRES for the BHPA® designation. 

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The course lasts for five weeks and has an introduction and five learning modules with one learning module completed weekly. Each learning module has a quiz at the end and there is a final test at the end of all five modules. The learning objectives for each module and the overall course are found below. 

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Overall Course Learning Objectives:

1. Why is there a need for mental health parity?

2. How has legislative history evolved to address the gaps in mental health parity?

3. How do federal and state law requirements impact mental health parity?

4. What are the common terms/acronyms that are used when discussing MHPAEA?

5. How does MHPAEA enforcement differ between federal and state authorities?

6. Where can additional reference materials be found to support a deeper understanding of mental health parity issues?

 

Module One: The need for mental health parity  

Introduction and Welcome to the Course

Learning Objectives: 

1. Compare the ways that behavioral health coverage was provided before/after MHPAEA legislation. 

2. Define and describe the significant distinctions between the terms “Mental Health”, “Substance Use Disorder”, and “Behavioral Health”.

3. Identify the impact of the Diagnostic and Statistical Manual of Mental Disorders (DSM) and the International Classification of Diseases on MHPAEA.

4. Contrast “Mental Health and Substance Use” conditions with “Medical and Surgical” conditions.

 

Module 2: Development of Legislation for Behavioral Health/Substance Use Disorder and Mental Health 

Learning Objectives:

1. Identify the significant legislative developments that impacted behavioral health during the previous century. 

2. Describe a recent scenario that demonstrates how mental health parity continues to evolve.

3. Identify the products that are impacted by MHPAEA.   

4. Define the terms “grandfathered plans” and “grandmothered plans” related to MHPAEA.

 

Module 3: Mental Health Parity and Equity Addiction Act Requirements in Detail  

Learning Objectives: 

1. Describe two types of Quantitative Treatment Limitation (QTL) testing required by MHPAEA.

2. Explain the significance of proper “Classification of Conditions and Benefits” as it relates to MHPAEA.

3. Define a treatment limitation known as a Non-Quantitative Treatment Limitation (NQTL)

 

Module 4: Related Federal Legislation and Tools for MHPAEA Oversight 

Learning Objectives: 

1. Discuss the role that federal and state regulators hold in the enforcement of MHPAEA.

2. Explain additional federal legislation that is related to MHPAEA and identify the acronyms that are commonly used.

3. Identify and locate additional compliance tools that have been developed to assist regulators and providers. 

 

Module 5: Regulatory Areas Impacted by MHPAEA and Areas of Further Study 

Learning Objectives: 

1. List specific insurance-related processes that may be impacted by MHPAEA.

2. Identify the additional courses to be developed for BHPA® designation.