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

Section 9812 of the Code requires group health plans maintained by an employer with more than 50 employees to disclose upon request to participants and beneficiaries of the plan the medical necessity criteria used in making decisions regarding claims for benefits under the plan.

The latest form for Notice of Medical Necessity Criteria under the Mental Health Parity and Addiction Equity Act of 2008 expires 2022-08-31 and can be found here.