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This page lists some of the action toward parity compliance undertaken by Alaska regulatory agencies since 2008.

Are we missing any actions taken by state regulatory agencies? Let us know at info@paritytrack.org.

Action in the Regulatory Arena

The Alaska Division of Insurance requires plans to complete checklists demonstrating their compliance with various sections of state and federal law. This checklist (pdf | Get Adobe® Reader®) is for small employer fully-insured plans and large employer fully-insured plans and requires them to show that they comply with the requirements of Federal Parity Law (pages 3, 4, 5). This checklist (pdf | Get Adobe® Reader®) requires individual plans to show that they comply with the Federal Parity Law (pages 5, 6).

3/2015

The Alaska Division of Insurance issued a bulletin (pdf | Get Adobe® Reader®) to plans about the section of the state insurance law about autism coverage. It clarified that plans cannot deny payment for services provided by a professional who is not licensed in Alaska if that professional is “licensed, certified, or registered by…a nationally recognized certifying organization.” The bulletin lists the Behavior Analyst Certification Board as an example of that type of organization.

3/2015

The Alaska Division of Insurance updated its Affordable Care Act compliance form. On page 6 (pdf | Get Adobe® Reader®) it explains that because the section of the state insurance law about autism coverage requires medically necessary pharmacy care, psychiatric care, psychological care, habilitative or rehabilitative care, and therapeutic care, autism coverage counts as an essential health benefit. It also reminds plans that there cannot be any visit limits for outpatient care for autism coverage (the section of the state insurance law about autism coverage is summarized at the bottom of this page under “Alaska Parity Law,” “Autism Coverage”).

Alaska Parity Law

There are several sections of the state insurance law relevant to parity. There are two sections about behavioral health coverage, a very brief section about mental health coverage, and a section about autism coverage.

Behavioral Health Coverage

This section requires small employer fully-insured plans and large employer fully-insured plans to “comply with the mental health or substance use disorder benefit requirements established” by the Federal Parity Law.

Substance Use Disorder Coverage

This section requires large employer fully-insured plans and small employer fully-insured plans with more than 5 employees to offer optional coverage for substance use disorder services. There are no further details in this section about the nature of this coverage.

Autism Coverage

This section requires individual plans, large employer fully-insured plans, and small employer fully-insured plans with more than 20 employees to cover autism services through age 20.

Financial requirements for autism services must be the same as those in place for other medical services.

Plans cannot have any limits for outpatient visits.

Autism spectrum disorder is defined as “pervasive developmental disorders, or a group of conditions having substantially the same characteristics as pervasive developmental disorders, as defined in the DSM-IV-TR, as amended or reissued from time to time.”

Treatment for autism is listed as (these are all defined in the law):

  • Habilitative or rehabilitative care (includes applied behavior analysis)
  • Pharmacy care
  • Psychiatric care
  • Psychological care
  • Therapeutic care

Small employer fully-insured plans with 21 to 25 employees can file for an exemption if compliance with this section caused premium costs to increase by at least 3% in a 12-month period.

Get Support

Alaska Insurance Division

Common Violations

In seeking care or services, be aware of the common ways parity rights can be violated.

Common Violations

Definition

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