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Three Key Strategies for Defending MHPAEA Claims: Preparing for …

Production of Medical Necessity Criteria and NQTL Analyses. The MHPAEA final regulations require the disclosure of medical necessity criteria used for medical/surgical and mental health and substance use disorder benefits, as well as the NQTL analyses noted above. Complying with MHPAEA’s … See more

Actived: 6 days ago

URL: https://www.groom.com/resources/three-key-strategies-for-defending-mhpaea-claims-preparing-for-the-lawsuit-before-it-is-filed/

IRS Announces 2024 Health and Welfare Limits Groom Law Group

WEBIRS Announces 2024 Health and Welfare Limits. On November 9, 2023, the IRS issued Rev. Proc. 2023-34, which announces the 2024 indexed limits for certain …

Category: Health Go Health

CAA 2023 Includes HSA Telehealth Relief, MHPAEA

WEBThe most direct impact on plan sponsors and health plan service providers is the extension of the HSA telehealth safe harbor that was set to expire on December 31, 2022. Specifically, the safe harbor …

Category: Health Go Health

Parity or Bust: Tri-Agencies Propose Sweeping Changes to Mental …

WEBOn July 25, 2023, the Departments of Health and Human Services, Labor and Treasury (“Tri-Agencies”) issued sweeping new guidance on the Mental Health …

Category: Health Go Health

IRS Issues Guidance on HDHP Relief for COVID-19 Services and …

WEBThe 2023 Notice states that, with the end of the COVID-19 Public Health Emergency and National Emergency, the relief in the 2020 Notice is no longer needed. …

Category: Health Go Health

HHS Issues Proposed Rules Implementing the …

WEBThe Proposed Rules require health insurance issuers to disclose specific information to Policyholders and to HHS. For the purpose of the Proposed Rules, a “policyholder” means the individual who …

Category: Health Go Health

Groom Webinar: Discussion of New Mental Health Parity and …

WEBIn this webinar Groom attorneys will provide an overview of the new nonquantitative treatment limitation (“NQTL”) disclosure requirements under the Mental …

Category: Health Go Health

Health Plan Investigations: Prudent Layperson Rule

WEBThe ACA generally requires that, if a group health plan or health insurance issuer provides or covers any benefits with respect to services in the emergency …

Category: Health Go Health

Taxation of Benefits Groom Law Group

WEBTaxation of Benefits. Groom’s experts have worked at Treasury, the IRS and the Congressional tax committees. Their knowledge of tax law, and where it is headed, helps shape the products and …

Category: Health Go Health

Health Plan Broker & Consultant Service Provider Fee Disclosure

WEBA CSP is a service provider that reasonably expects to receive $1,000 or more in total direct or indirect compensation from the plan in connection with providing a …

Category: Health Go Health

DOL Proposes Rescinding Prior Rule Relating to Association …

WEBOn December 19, 2023, the Department of Labor (“DOL”) issued a proposed rule rescinding a Trump Administration rule that expanded the availability of association …

Category: Health Go Health

End-of-Year Omnibus Bill Adds Mental Health Parity and …

WEBThe Consolidated Appropriations Act, 2021 (the “CAA”) that was signed into law on December 27, 2020, amends the Employee Retirement Income Security Act of …

Category: Health Go Health

2023 Benefit and Contribution Limits Groom Law Group

WEBThe IRS recently announced that substantially all of the key retirement plan and health and welfare plan limits will increase next year – some significantly due to …

Category: Health Go Health

Senate HELP Committee Releases Sweeping Legislative Package …

WEBEntitled the “Lower Health Care Costs Act,” the Draft Bill—released on a bipartisan basis by Sens. Lamar Alexander (R-TN) and Patty Murray (D-WA), the …

Category: Health Go Health

IRS Chief Counsel Advice Says Wellness Indemnity Payments Are …

WEBOn June 8, 2023, the IRS released Chief Counsel Advice 202323006 (the “CCA”) addressing the tax treatment of wellness indemnity payments made by employer-funded …

Category: Health Go Health

Data Marketing Poses Significant Implications for Health Plans

WEBData Marketing Partnership, LLP (“Data Marketing”) offers a health insurance plan to individuals that download an app that tracks phone usage. The company treats …

Category: Health Go Health

EEOC Releases Much-Anticipated Proposed ADA and GINA …

WEBThe biggest change under the ADA is that incentives for participatory wellness programs would be subject to a “de minimis” limit, while incentives for health …

Category: Health Go Health

Health, Retirement Proposals PublicationsBiden’s 2024 Budget …

WEBHealth, Retirement Proposals. On March 9, 2023, President Biden released his budget for Fiscal Year 2024. Similar to proposals in its last budget, the …

Category: Health Go Health

DOL Releases Field Assistance Bulletin On Disclosure …

WEBBackground. On December 30, 2021, the Department of Labor (“DOL”) released Field Assistance Bulletin No. 2021-03 (“FAB 2021-03”). FAB 2021-03 …

Category: Health Go Health

IRS Explains FSA Substantiation Rules Groom Law Group

WEBOn April 28, 2023, the Internal Revenue Service (“IRS”) Office of Chief Counsel issued a Chief Counsel Advice (“CCA”) explaining the requirements for claim …

Category: Health Go Health

SECURE 2.0 Creates New Opportunity to Use Surplus Pension …

WEBEmployers that maintain overfunded pension plans and are looking for ways to fund retiree health and/or group term life should take a fresh look at Section 420 of …

Category: Health Go Health

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