A Compelling Argument for Facilitating the Equitable Use of Generally Accepted Standards of Care: Strategies for Mental Health and Substance Use Disorder Providers

The National Council for Mental Wellbeing developed a toolkit to empower mental health and substance use disorder (MH/SUD) organizations to claim their role as the expert authority on generally accepted standards of care.

This toolkit provides a compelling argument for upholding generally accepted standards of care and practical tools for implementing an effective appeal strategy, including appeal letter templates and insurance claim review talking points.

The recommended approach supplements general appeal guidance with important findings from the landmark federal court case, Wit v. UBH. This groundbreaking ruling established a clear set of generally accepted standards of care that is consistent with widely accepted professional sources of standards.