Proposed Revision of Information Collection Request Submitted for Public Comment; Draft Model Non-Quantitative Treatment Limitations Form
SUMMARY: The
A copy of the information collection request (ICR) may be obtained by contacting the office listed in the ADDRESSES section of this notice.
DATES: Written comments must be submitted to the office shown in the ADDRESSES section on or before
ADDRESSES: Direct all written comments to
FOR FURTHER INFORMATION CONTACT: Requests for additional information or copies of the draft model form should be directed to
SUPPLEMENTARY INFORMATION: The
The Cures Act /1/ was enacted on
FOOTNOTE 1 Public Law 114-255 END FOOTNOTE.
The statutory MHPAEA provisions and implementing regulations expressly provide that a plan or issuer must disclose the criteria for medical necessity determinations with respect to MH/SUD benefits to any current or potential participant, beneficiary, or contracting provider upon request and must disclose the reason for any denial of reimbursement or payment for services with respect to MH/SUD benefits to the participant or beneficiary.
On
In addition, the Departments indicated that they had received requests to explore ways to encourage uniformity among State reviews of health insurance issuers' compliance with the NQTL standards. Various stakeholders stated that model forms to report NQTL information will help facilitate uniform implementation and enforcement of MHPAEA, and relieve some complexity that MHPAEA compliance poses for issuers operating in multiple States. Furthermore, other stakeholders highlighted that the use of such model forms may also benefit consumers, as consumers will be entitled to request the analysis performed to complete the model forms.
The Cures Act requires the Departments, by
FOOTNOTE 2 Cures Act section 13001(c)(1). END FOOTNOTE
FOOTNOTE 3 Cures Act section 13001(c)(2). The Departments must also share this feedback with the
The Departments recently issued Affordable Care Act Implementation FAQs Part 38, which again solicited comments on FAQs Part 34 as required by the Cures Act. The Departments also solicited comments on a draft model form that participants, enrollees, or their authorized representatives could use to request information from their health plan or issuer regarding NQTLs that may affect their MH/SUD benefits, or to obtain documentation after an adverse benefit determination involving MH/SUD benefits to support an appeal. The draft model form is an information collection subject to the PRA. The model from and instructions are available at https://www.dol.gov/agencies/ebsa.
II. Current Actions
This notice requests public comment on the draft model form discussed above. The
Type of Review: Revised Collection.
Agency:
Title: Notices under the Mental Health Parity and Addiction Equity Act of 2008--Draft Model Non-Qualitative Treatment Limitations Form.
OMB Numbers: 1545-2165.
Affected Public: Private Sector--Not for profit organizations; businesses or other for profits.
Total Respondents: 1,204,215 (combined with DOL the total is 2,408,430).
Total Responses: 1,204,215 (combined with DOL the total is 2,408,430).
Frequency of Response: On occasion.
Estimated Total Annual
Estimated Total Annual
III. Desired Focus of Comments
The
* Evaluate whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information will have practical utility;
* Evaluate the accuracy of the agency's estimate of the burden of the proposed collection of information, including the validity of the methodology and assumptions used;
* Enhance the quality, utility, and clarity of the information to be collected; and
* Minimize the burden of the collection of information on those who are to respond, including through the use of appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of information technology, e.g., by permitting electronic submissions of responses.
Comments submitted in response to this notice will be summarized and/or included in the ICR for OMB approval of the revision of the information collection; they will also become a matter of public record.
Dated:
Tax Analyst,
Notice.
Citation: "82 FR 28939"
Federal Register Page Number: "28939"
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