In our previous Compliance Update, WebTPA mentioned the nonquantitative treatment limitations (NQTLs) comparative analysis, under the Mental Health Parity and Addiction Equity Act (MHPAEA). Group health plans must apply any processes, strategies, evidentiary standards and other factors underlying NQTLs to mental health or substance use disorder (“MH/SUD”) benefits comparably to those for medical/surgical (M/S) benefits.
On October 29, 2020, HHS, the Department of Labor, and the Department of Treasury (the Departments) jointly issued a final rule requiring health plans to disclose price and cost-sharing information to participants, beneficiaries, enrollees and the general public.
As communicated earlier this month, WebTPA has been working to identify the individuals affected by the COBRA tolling period extensions. By the end of this week, our goal is to provide our clients with a copy of the COBRA Election Extension Period Notice and the COBRA Election Extension Period Expiration Notice.
The $1.9 trillion bill includes direct economic impact payments for qualifying individuals and families, extended unemployment benefits, temporarily extended child tax credits, and funding for education, public health, and other pandemic response priorities.
Federal Legislation for Self-Funded Health Plans
WebTPA is committed to keeping its clients up to date on federal healthcare policies and legislation. Here you will find our interpretation of said legislation and how these statutes may impact your health plan.
Publicly Available, Machine-Readable Files
In-Network Rates and Historical Out-of-Network Allowed Amounts
To meet transparency requirements effective July 1, 2022, WebTPA will assist plan sponsors in making the two machine-readable files available (in-network rates for covered services or item covered by the plan, historical billed charges from out-of-network providers and the allowable amount of such charges considered by the plan).