Grandfathered plans are still not subject to the full gamut of external review regulations, but there are now certain aspects that all health plans – whether grandfathered or not – will need to abide by. (Photo: Shutterstock)
The passage of the Consolidated Appropriations Act (CAA), which contains the No Surprises Act (NSA) as part of it, means big changes for most health plans. If your plan, or plans you service, haven't updated their documents and processes yet, now is the time.
Another major aspect of 2021-2022 compliance is the Mental Health Parity and Addiction Equity Act (MHPAEA); compliance with the parity rules is nothing new, of course, but the Department of Labor has stated its intent to ramp up its compliance auditing. This comes in the shadow of the new rule to provide an annual analysis of a health plan's nonquantitative treatment limitations, or NQTLs.
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