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California Regulators Cite Kaiser Permanente for Violating Parity Laws
April 1st, 2013
As written about by John Grohol in Psych Central, Kaiser Permanente, California's largest HMO was found by the California Department of Managed Health Care to be violating patient protection laws. California requires that patients wait no more than 10 days for an appointment to see a specialist.…
Provider Groups Allege Anthem Blue Cross/Blue Shield of Connecticut Violates Federal Parity Law
March 26th, 2013
As written in Psych Today, the Connecticut Psychiatric Society, the American Psychiatric Society, and the Medical Society of Connecticut allege that Anthem Blue Cross/Blue Shield of Connecticut is violating the federal parity and other laws with new reimbursement procedures for new CPT code…
Class Action Suit Filed Against United Healthcare Alleging Parity Violation
March 20th, 2013
Pomerantz Law Firm Has Filed a Class Action Against UnitedHealth Group, Inc. for Violations of Federal and State Mental Health Parity Laws - UNH March 12, 2013 15:20 | Source: Pomerantz Grossman Hufford Dahlstrom & Gross LLP NEW YORK, March 12, 2013 (GLOBE NEWSWIRE) -- Pomerantz Grossman…
Parity Webcast
March 10th, 2013
On January 16, 2013- Maryland Parity Project Director was pleased to join with students at the University of Maryland King Carey School of Law Drug Policy Clinic to present a 90 minute webcast on the federal parity law. The webcast, hosted by the Maryland Medicaid Matters Coalition,presents an…
Montgomery County Government Complies With Parity
March 3rd, 2013
On February 12, 2013 Montgomery County Government released a memo stating their intention to have all county government employee health plans comply with the federal mental health parity law. Now Montgomery County Public Schools, Montgomery County Community College, and Montgomery County Government…
HHS Releases Final Rule on Essential Health Benefits
February 28th, 2013
Last week HHS released the final rule regulating the Essential Health Benefit Plans that will be sold in the large and small group markets in 2014. See entire rule Of note in the final rule: requires that plan designs are non-discriminatory clarifies that the EHB must include mental…
CMS Issues Letter to States Clarifying Parity Requirements for Medicaid
February 13th, 2013
In early January, CMS issued a letter to State Medicaid Directors confirming that all Medicaid MCOs must be compliant with federal parity law. The letter also directed Medicaid Directors to ensure that the new Medicaid expansion population and the Children's Health Insurance Plan recipients would…
Maryland Parity Project Assists in Winning Appeal
January 10th, 2013
In September we worked with a family who had been denied reimbursement for residential treatment provided to their son. The insurance policy holder was a federal employee, and while the employee's plan included a benefit for residential treatment it required that the treatment be deemed medically…
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Maryland Changes Essential Health Benefit Selection
December 21st, 2012
Based on new HHS guidance, Maryland's HCRCC met on December 17, 2012 and reversed its selection of the state employee plan as the state's Essential Health Benefit Benchmark. On Monday, the HCRCC voted to select the Small Employer Plan as the EHB Benchmark. The small employer plan will serve as the…