Prohibits insurers from retroactively denying payment for substance use disorder treatment if coverage was in place at the start of treatment.
This bill amends the insurance law to prohibit insurers from retroactively denying payment for substance use disorder treatment services if the insured was covered at the time treatment began. It also mandates that insurers must immediately notify treatment providers when an insured loses coverage due to employment termination. The denial of coverage must be based on employment termination, not suspension. Failure to notify the provider of the coverage loss precludes any retrospective review based on the insured's eligibility.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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