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| FAQs 'Clarifying' Preventive Care Services in Fact Break Some New Ground (PDF) Groom Law Group  [Guidance Overview] May 28, 2015 "The new FAQs create some confusion about whether, and in what circumstances, group health plans and health insurance issuers may continue to use their definition of medical necessity. Historically, group health plans and health insurance issuers, and not attending providers, have defined medical necessity. The new FAQs can arguably be seen as part of a recent trend in the Departments' guidance to defer to providers, rather than to plans and issuers, in determining medical necessity." |
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