№ files_lp_3_process_9_52488
Official reporting document detailing requirements for insurers and related entities to submit data comparing administration of mental health and substance use disorder benefits to medical and surgical benefits under state and federal parity laws.
Year: 2023–2024
Region / Jurisdiction: New York State, US
Document Type: Legislative Compliance Report
Governing Law: Insurance Law § 343
Responsible Agency: Department of Financial Services, New York State
Target Entities: Insurers, corporations under Article 43, managed care organizations under Article 44, PHSPs in commercial individual market
Reporting Periods: January 1, 2023 – December 31, 2023; January 1, 2024 – December 31, 2024
Submission Deadline: July 1, 2025
Data Format: Microsoft Excel
Scope of Data: Individual, group, and blanket policies with comprehensive coverage excluding Medicaid, Medicare, Federal Employee Insurance, dental and vision benefits, and other specified exclusions
Compliance Standards: Mental Health Parity and Addiction Equity Act (MHPAEA)
Publication: DFS website
Review Process: DFS review for quantitative and non-quantitative treatment limitations compliance, possible additional information requests
Data Categories: Demographic information, utilization review (retrospective, prior authorization, concurrent), rate of appeals, claim payments, behavioral health representatives, cost share comparison, participating providers, external appeals, attestation and contact information
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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