Before December 31, 2024, self-insured plan sponsors are required to file a gag clause attestation with CMS using the HIOS system. For self-insured clients, uploading the attestation is a plan sponsor responsibility under the Consolidated Appropriations Act. However, Diversified Group will submit the attestations to CMS on behalf of our clients in time to meet the [...]
The Consolidated Appropriations Act requires self-insured plan sponsors to file a gag clause attestation with CMS using the HIOS system no later than December 31st, 2023. A gag clause is any contractual term that prohibit health plan sponsors and plan issuers from having any agreements with a healthcare provider, a network, an association of providers, [...]
Before December 31, 2023, self-insured plan sponsors are required to file a gag clause attestation with CMS using the HIOS system. For self-insured clients, uploading the attestation is a plan sponsor responsibility under the Consolidated Appropriations Act. However, Diversified Group will submit the attestations to CMS on behalf of our clients in time to meet the [...]
On December 23, 2022, U.S. Congress approved the Consolidated Appropriations Act, 2023 (CAA 2023). The healthcare provisions in this act extend the temporary telehealth safe harbor for High Deductible Health Plans (HDHP) first-dollar coverage through December 31, 2024. EXTENSION OF THE SAFE HARBOR FOR HDHPS TO COVER TELEHEALTH SERVICES Originally the CARES Act established a [...]
As you are aware, the Consolidated Appropriations Act, via the Transparency in Coverage Rules (TIC), requires health plans to have an online tool to compare prices for 500 designated “shoppable” services by January 1, 2023. The internet-based tool must allow plan enrollees to search for information by certain elements, such as billing codes, descriptive terms, [...]
Per the No Surprises Act (NSA), a component of the Consolidated Appropriations Act passed in December of 2020, beginning with renewals on or after January 1, 2022, health plans and health issuers offering group and individual health insurance coverage must issue a plain language notice regarding employee’s rights under the No Surprises Act. The notice [...]
