United States:
Proposed MHPAEA Regulations Flowchart: Understanding The New Framework For Non-Quantitative Treatment Limitations
16 August 2023
Proskauer Rose LLP
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In late July, the Departments of Labor, Treasury, and Health and
Human Services released proposed regulations implementing the
Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA).
Readers of our previous blog will recall that the proposed
regulations include a new three-part framework for evaluating
"non-quantitative treatment limitations" (NQTLs) imposed
on plan benefits. NQTLs refer to non-numerical limitations on the
scope or duration of plan benefits, such as prior authorization
requirements. We have prepared a flowchart illustrating the new
framework in the proposed rules, which can be downloaded here.
Proposed MHPAEA Regulations Flowchart:
Understanding The New Framework For Non-Quantitative Treatment
Limitations
The content of this article is intended to provide a general
guide to the subject matter. Specialist advice should be sought
about your specific circumstances.
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