Agencies Delay Summary of Benefits and Coverage Requirements, Issue FAQs on Mental Health Parity

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On November 17, the tri-agency task force1 released new FAQs on the implementation of the Patient Protection and Affordable Care Act (PPACA) and the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA). The FAQs are Part VII in a series of informal guidance issued by the task force since March 2010. The latest round of guidance includes several items of interest for employers: (1) a delay of the applicability date for the Summary of Benefits and Coverage (SBC) requirements under PPACA; (2) clarifications regarding the nonquantitative treatment limitations and copayment variations prohibited for mental health/substance use disorder benefits under MHPAEA,2 and (3) information on permissible copayment variations for mental health/substance use disorder benefits.....

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