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The CAA Mental Health Parity Comparative Analysis Requirement
ABD Insurance & Financial ServicesLink to more items from this source
[Guidance Overview]
July 9, 2021

"[T]he DOL expects to focus on the following four NQTLs in its near-term enforcement efforts: [1] Prior authorization requirements for in-network and out-of-network inpatient services; [2] Concurrent review for in-network and out-of-network inpatient and outpatient services; [3] Standards for provider admission to participate in a network, including reimbursement rates; and [4] Out-of-network reimbursement rates (plan methods for determining usual, customary, and reasonable charges)."

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