Compensation Strategies Group, Ltd.
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|The CAA Mental Health Parity Comparative Analysis Requirement|
ABD Insurance & Financial Services
July 9, 2021
"[T]he DOL expects to focus on the following four NQTLs in its near-term enforcement efforts:  Prior authorization requirements for in-network and out-of-network inpatient services;  Concurrent review for in-network and out-of-network inpatient and outpatient services;  Standards for provider admission to participate in a network, including reimbursement rates; and  Out-of-network reimbursement rates (plan methods for determining usual, customary, and reasonable charges)."
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