Blog

Nonquantitative Treatment Limitations (NQTLs)

May 7, 2021

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.
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No Surprises Act

April 22, 2021 | WebTPA

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.
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COBRA Tolling Period Extensions

March 29, 2021

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.
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American Rescue Plan Act of 2021

March 16, 2021 | WebTPA

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.
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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).

Important Note

These are very large JavaScript Open Notation (JSON) files (20GB to 70GB) that may take a while to download. If your system has limited capability, they may not be downloadable. Download speeds and time are dependent on your internet speed, browser and computer hardware.

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