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July 26, 2010
HRB 11 - Internal Claims and Appeals, and External Review Process
July 15, 2010
HRB 10 - Preventive Health Services
July 12, 2010
HRB 9 - New Model Notices Issued
MHPAEA: Welcomed Non-enforcement Guidance
The Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), enacted on October 3, 2008, expanded the Mental Health Parity law, enacted in 1996. Since the issuance of the interim final MHPAEA regulations earlier this year, many insurers have expressed concern about the practice of having two different payment standards for outpatient services, specifically, a co-pay, for example, for office visits, and a co-insurance for all other services.
FMLA Broadened for Parents
The Family and Medical Leave Act was enacted in 1993 to provide time off and job protection in the event that an employee has a serious health condition, or to attend to a serious health condition of a family member, defined as a spouse, parent, son or daughter, as well as for the birth or adoption of a child. The law applies to employers employing 50 or more employees.
June 29, 2010
HRB 8 - Early Retiree Reinsurance Program Application Process Opened
June 23, 2010
HRB 7 - Patient’s Bill of Rights
June 16, 2010
HRB 6 - Grandfathered Health Plans Rules
June 11, 2010
HRB 5 - Early Retiree Subsidy – Initial Application Date is Approaching
June 7, 2010
Updated Information: Mandatory Medicare Reporting for HRAs
In an effort to ensure that the Medicare Secondary Payor rules are properly administered, the Centers for Medicare and Medicaid Services (CMS) imposed a mandatory reporting requirement on insurers, third party administrators, and plan administrators of self-funded, self-administered health plans, collectively referred to as “Responsible Reporting Entities” (RREs). The type of information to be reported relates to Medicare beneficiaries who have group health plan coverage. While this reporting rule became effective January 1, 2009, it is only recently become effective for health reimbursement arrangements (HRAs)(see CMS Clarifies Medicare Mandatory Reporting Requirement for HRAs, Benefit Beat, August 2009). CMS recently issued an Alert updating information relating to the mandatory Medicare reporting for HRAs. Registration for HRA-only RREs began May 1, 2010 and must be completed by June 30, 2010. The data submission testing period for HRAs will begin July 1, 2010; production reporting of HRA coverage information will begin October 1, 2010.