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Montgomery County Government Complies With Parity
March 3rd, 2013
On February 12, 2013 Montgomery County Government released a memo stating their intention to have all county government employee health plans comply with the federal mental health parity law. Now Montgomery County Public Schools, Montgomery County Community College, and Montgomery County Government…
HHS Releases Final Rule on Essential Health Benefits
February 28th, 2013
Last week HHS released the final rule regulating the Essential Health Benefit Plans that will be sold in the large and small group markets in 2014. See entire rule Of note in the final rule: requires that plan designs are non-discriminatory clarifies that the EHB must include mental…
CMS Issues Letter to States Clarifying Parity Requirements for Medicaid
February 13th, 2013
In early January, CMS issued a letter to State Medicaid Directors confirming that all Medicaid MCOs must be compliant with federal parity law. The letter also directed Medicaid Directors to ensure that the new Medicaid expansion population and the Children's Health Insurance Plan recipients would…
Maryland Parity Project Assists in Winning Appeal
January 10th, 2013
In September we worked with a family who had been denied reimbursement for residential treatment provided to their son. The insurance policy holder was a federal employee, and while the employee's plan included a benefit for residential treatment it required that the treatment be deemed medically…
blog
Maryland Changes Essential Health Benefit Selection
December 21st, 2012
Based on new HHS guidance, Maryland's HCRCC met on December 17, 2012 and reversed its selection of the state employee plan as the state's Essential Health Benefit Benchmark. On Monday, the HCRCC voted to select the Small Employer Plan as the EHB Benchmark. The small employer plan will serve as the…
Maryland Selects Its Essential Health Benefit Plan
September 28th, 2012
The Selection On September 27, 2012 The Maryland health Care Reform Coordinating Council voted to select the State Employee Health Plan as its benchmark for the Essential Health Benefit Plan. Of course, because nothing can be simple, the HCRCC included in their motion a support for flexibility…
Massachusetts New Law Requires Demonstration of Compliance with Mental Health Parity
August 20th, 2012
A new Massachusetts law signed by Governor Deval Patrick on August 6, 2012 requires insurance carriers to submit an annual report to the Attorney General demonstrating their compliance with the Mental Health Parity and Addiction Equity Act. The law requires the Insurance Commissioner to promulgate…
blog
DOL Releases New Parity Self-Compliance Tool
August 9th, 2012
The US Department of Labor Employee Benefit Security Administration recently updated its Mental Health Parity and Addiction Equity Act Self- Compliance tool. This tool is provided to enable group health insurance plan administrators, large employers, health insurance issuers and other interested…
Maryland Parity Project Assists With Winning Appeal
July 9th, 2012
A Virginia insurer overturned their decision to deny reimbursement for 6 outpatient sessions, originally not deemed medically necessary. Recently, the Maryland Parity Project assisted a Maryland psychologist file an appeal in an attempt to secure reimbursement for 6 outpatient sessions that took…