Notice of Medical Necessity Criteria under the Mental Health Parity and Addition Equity Act of 2008

ICR 201004-1210-009

OMB: 1210-0138

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2009-11-30
ICR Details
1210-0138 201004-1210-009
Historical Active 200911-1210-005
DOL/EBSA
Notice of Medical Necessity Criteria under the Mental Health Parity and Addition Equity Act of 2008
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 04/27/2010
Retrieve Notice of Action (NOA) 04/27/2010
  Inventory as of this Action Requested Previously Approved
01/31/2013 36 Months From Approved
446,000 0 0
950 0 0
562,500 0 0

The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) was enacted on October 3, 2008 as sections 511 and 512 of the Tax Extenders and Alternative Minimum Tax Relief Act of 2008 (Division C of Public Law 110-343). MHPAEA amends the Employee Retirement Income Security Act of 1974 (ERISA), the Public Health Service Act (PHS Act), and the Internal Revenue Code of 1986 (Code). In 1996, Congress enacted the Mental Health Parity Act of 1996, which required parity in aggregate lifetime and annual dollar limits for mental health benefits and medical and surgical benefits. Those mental health parity provisions were codified in section 712 of ERISA, section 2705 of the PHS Act, and section 9812 of the Code. The changes made by MHPAEA are codified in these same sections and consist of new requirements as well as amendments to several of the existing mental health parity provisions applicable to group health plans and health insurance coverage offered in connection with a group health plan. MHPAEA and the interim final regulations do not apply to small employers who have between two and 50 employees. The changes made by MHPAEA are generally effective for plan years beginning after October 3, 2009. MHPAEA and the interim final regulations (29 CFR 2590.712(d)) require plan administrators to disclose the criteria for medical necessity determinations with respect to mental health and substance use disorder benefits. These third-party disclosures are information collection requests for purposes of the Paperwork Reduction Act.

PL: Pub.L. 110 - 343 512 Name of Law: The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008
  
PL: Pub.L. 110 - 343 512 Name of Law: The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008

1210-AB30 Final or interim final rulemaking 75 FR 5409 02/02/2010

74 FR 19155 04/28/2009
Yes

1
IC Title Form No. Form Name
Notice of Medical Necessity Criteria under the Mental Health Parity and Addition Equity Act of 2008

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 446,000 0 446,000 0 0 0
Annual Time Burden (Hours) 950 0 950 0 0 0
Annual Cost Burden (Dollars) 562,500 0 562,500 0 0 0
No
No
This is a new third-party disclosure required by the Mental Health Parity and Addition Equity Act of 2008.

$0
No
No
Uncollected
Uncollected
No
Uncollected
Chris Cosby 202 693-8540

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/03/2009


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