Primary Focus: Access to Services Agency: Health, Health Care Financing, Coverage and Reimbursement Policy Title/Description: Covered Services Citation: U.A.C. R414-42-3 Summary: Covered services may be delivered by means of telemedicine, as clinically appropriate. Services include consultation services, evaluation and management services, mental health services, substance use disorder services, and telepsychiatric consultations. Effective Date: December 29, 2008 (Last Substantive Amendment July 1, 2018) Notes: N/A
Primary Focus: Parity Agency: Utah Department of Insurance Title/Description: 2018 Plan Year Requirements for Health Benefit Plan and Stand-Alone Dental Plan Filings Subject to PPACA Citation: Bulletin 2017-1(a) Summary: Coverage for the medical treatment of mental illness and substance use disorder shall comply with the federal Mental Health Parity and Addiction Equity Act (MHPAEA) and applicable federal regulations. Effective Date: April 25, 2017 Notes: N/A
The Utah Insurance Department sent a survey to some insurers. One of the survey items about transitional plans reminded insurers that while these plans do not have to comply with much of the Affordable Care Act, they do have to comply with the Federal Parity Law.
There is contradictory language in this section about small employer fully-insured plans. A subsection of the law was added in 2014 that requires small employer fully-insured plans to cover behavioral health services and comply with the Federal Parity Law. Older subsections of the law do not require these plans to provide coverage for behavioral health services that complies with the Federal Parity Law. It is the opinion of ParityTrack that these older subsections are no longer relevant and they will not be summarized here. If you know or believe otherwise, please contact us at firstname.lastname@example.org.
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