Action in the Regulatory Arena
|Primary Focus||Access to Services|
|Agency||Health, Health Care Financing, Coverage and Reimbursement Policy|
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)|
|Agency||Utah Department of Insurance|
|Title/Description||2018 Plan Year Requirements for Health Benefit Plan and Stand-Alone Dental Plan Filings Subject to PPACA|
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|
The Utah Insurance Department issued a bulletin regarding small employer fully-insured plans and individual plans. It clarified that services for behavioral health disorders must be covered at the same terms and conditions as other services for other medical conditions (page 7). It also clarified that individual plans must cover autism services starting on January 1, 2016 (page 7).
The Utah Insurance Department sent a survey to some insurers that offer individual plans and small employer fully-insured plans. 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.