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DOL Addresses Mental Health Parity, Again
International Foundation of Employee Benefit Plans [IFEBP] Link to more items from this source
[Guidance Overview]
June 3, 2016

"Two more disclosure issues were clarified in the [FAQs about ACA, Part 31]. [1] A potential plan participant/enrollee is able to request a copy of the medical necessity criteria. [2] The items that a plan must disclose to a provider acting as an authorized representative for an ERISA group health plan participant ... If the actual medical necessity criteria are requested, then providing a summary is not an appropriate substitute."

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