The AMBHA Code of Conduct covers the following nine topics: access to behavioral health care/choice of provider; quality health care; confidentiality of medical records; appeals process; utilization review; member/consumer information; timely and accurate payment; non-formulary alternatives; and prevention.
AMBHA represents nine of the Nation's leading behavioral health care organizations.
, founded in 1994, represents 11 managed behavioral health care organizations, which collectively manage the mental illness and addiction disorder health benefits for more than 112 million Americans.
0 contains two additional components: a set of developmental leadership testing measures which should be important to the behavioral health care :field and a set of behavioral health measures AMBHA would like to see every managed care organization in the Nation collect.
0 is the result of two drafting sessions--by AMBHA members in February 1997, and by AMBHA members, a team from Harvard University, and leading behavioral health care performance measures experts in May 1997.
In order for AMBHA to define serious mental illness, the analysis excluded approximately 70 mental health disorders and conditions listed in the Diagnostic and Statistical Manual of Mental Disorders 4th Edition (DSM-IV) even though most clinicians recognize the excluded disorders as having clinical significance and functional impairment.
For example, the AMBHA analysis excluded adjustment disorders, sleep disorders and gender identity disorders.
Based on current experience, AMBHA members report that it would take more time, paperwork and money for employers, health plans and providers to determine what disorders are covered and at what rate if policies are allowed to continue to discriminate between mental illnesses.
In July AMBHA released data that showed that claims for treatment of certain DSM-IV disorders singled-out by parity opponents (including jet lag) are rare and have no significant impact on the overall cost of mental health care.
AMBHA member companies are both national and regional and are collectively responsible for managing mental health and substance abuse services in the public and private sector for over 110 million individuals across the country.
Now the members of AMBHA
have provided the data to unmistakably back-up this assertion," said Pamela Greenberg, M.