Workgroups

Next Meeting:

Monday, August 22, 2022 10 am - 11 am
ZoomGov Webinar log-in: https://www.zoomgov.com/j/1612429537
Dial-in number: 1-669-254-5252
Meeting ID: 161 242 9537
Virtual NOTICE and AGENDA

Previous Meeting

Friday, June 17, 2022
Virtual Public Hearing Notice and Agenda
Click HERE to view hearing.
Click HERE to view workgroup meeting update.

Continuing Education Workgroup

Continuing Education Workgroup

Mental Health Parity Workgroup

Pursuant to § 15-144(N) of the Insurance Article, Annotated Code of Maryland, on or before December 31, 2021, the Commissioner shall, in consultation with interested stakeholders, adopt regulations to ensure uniform definitions and methodology for carriers to submit reports to the Commissioner to demonstrate compliance with the parity act.

Final Template Reporting Forms, Instructions and Supplement for COMAR 31.10.51

NQTL Analysis Report Template Form
MHPAEA Data Report Template Form
Instructions for MHPAEA NQTL Analysis Report and Data Report
Data Supplement 1 (Utilization Review)
Data Supplement 2 (Formulary Exceptions)
Data Supplement 3 (Provider Credentialing)
Data Supplement 4 (Reimbursement Rates)
Instructions for Data Supplement 1 (Utilization Review)
Instructions for Data Supplement 2 (Formulary Exceptions)
Instructions for Data Supplement 3 (Provider Credentialing)
Instructions for Data Supplement 4 (Reimbursement Rates)

NQTL Summary Form

The deadline to file the first NQTL Analysis Reports and MHPAEA Data Reports with the MIA is March 1, 2022. However, the four Data Supplement forms are not required to be submitted until April 1, 2022.

Previous Hearings

November 1, 2021 1 pm
AGENDA

Video

The Administration is still considering all comments received on the data supplements and will post additional information on those items as soon as they are ready.

Instructions for MHPAEA NQTL Analysis Report and Data Report (October 13, 2021)
MHPAEA Data Report Template Form (October 13, 2021)
NQTL Comparative Analysis Report (October 13, 2021)
MHPAEA Summary Form Instructions (October 13, 2021)

Carefirst Comments (October 29, 2021)

Legal Action Center Comments (November 15, 2021)
League of Life and Health Insurers of Maryland Comments (November 15, 2021)
UnitedHealthcare Comments (November 17, 2021)

August 30, 2021
Agenda
Video

April 26, 2021

AGENDA
Video

Public Comments

In-Network Reimbursement Rates Templates Excel (Office Visits)
In-Network Reimbursement Rates Templates WORD (Office Visits)
FAQs Mental Health and Substance Use Disorder Parity Implementation and the Consolidated Appropriations Act
Community Behavioral Health Comments
Legal Action Center / Parity Coalition Member May 14, 2021
ABHW - May 26, 2021
AHIP - Nat 26, 2021
CareFirst BlueCross BlueShield - May 26, 2021
The League of Life and Health Insurers of MD - May 26, 2021
BH Health Services, Inc. - May 26, 2021
View comments and table submitted by MHAMD
April 26, 2021

November 23, 2020

AGENDA
Press Release

Public Comments

Milliman White Paper - Nonquantitative treatment limitation analyses to assess MHPAEA compliance
Millman PowerPoint - Addiction and mental health vs. physical health
Mental Health Treatment and Research Institute - PowerPoint
Mental Health Path Forward - PowerPoint
Maryland Psychiatric Society
Office of the Attorney General
Legal Action Center
Ann Geddes
Rachel Stoyanov
Stacey Brown

MHPAEA Enforcement Actions

Draft Regulations, Template Forms, and Instructions

Title 31 Maryland Insurance Administration
Subtitle 10 Health Insurance - General
Chapter 51 Mental Health Benefits and Substance Use Disorder Benefits - Reports on Nonquantitative Treatment Limitations and Data

View the proposed regulations:

Supporting Documents for Draft COMAR 31.10.51

NQTL Analysis Report Template Form

MHPAEA Data Report Template Form

Instructions for MHPAEA NQTL Analysis Report and Data Report

Data Supplement 1 (Utilization Review)

Data Supplement 2 (Formulary Exceptions)

Data Supplement 3 (Provider Credentialing)

Data Supplement 4 (Reimbursement Rates)

Instructions for Data Supplement 1 (Utilization Review)

Instructions for Data Supplement 2 (Formulary Exceptions)

Instructions for Data Supplement 3 (Provider Credentialing)

Instructions for Data Supplement 4 (Reimbursement Rates)

Network Adequacy

Network Adequacy

Pharmacy Benefit Manager Regulation Information

Pharmacy Benefit Manager Regulation Information

Pharmacist Reimbursement Workgroup

August 8, 2022
Virtual Public Hearing Notice and Agenda

Time: 11:00 am – 12:00
Zoom Webinar video conference: https://www.zoomgov.com/j/1614250739
Dial-in number: 669-254-5252
Webinar ID: 161 425 0739

Materials Submitted by Workgroup Members:

American Pharmacists Association: Billing Primer
Ambulatory Care Practitioners: Billing quick reference Sheet
American College of Clinical Pharmacy: Comprehensive Medication Management in Team-Based Care
CDC: P3 Program Guide
Journal of the American Pharmacists Association: Clinical effectiveness and cost savings in diabetes care, supported by pharmacist counselling
Science Direct: Cost-Effectiveness Analysis of a Pharmacist-Led Medication Therapy Management Program: Hypertension Management

Previous Meeting

June 27, 2022
Virtual Public Hearing Notice and Agenda

Workgroup History

Peer to Peer Personal Auto Rental Insurance Workgroup

2017-Report-on-Peer-to-Peer-Personal-Auto-Rentals.pdf

Organizational Call
Wednesday, August 30, 2017
11:00 a.m. - 12:30 p.m. EST
Click here for AGENDA

Organizational Call
Wednesday, July 26, 2017
1:00 - 2:30 p.m. EST
Click here for AGENDA

Pharmaceutical Services Workgroup

Pharmaceutical Services Workgroup Report
January 10, 2018

Specialty Drug List

Meeting Schedule

Wednesday, June 13, 2018
10AM to 12PM
State Center
Auditorium
300 W. Preston Street
Baltimore, MD 21201
AGENDA

Monday, November 13, 2017
1 to 4PM
MIA Hearing Room, 24th Floor
200 St. Paul Place
Baltimore, MD 21202
AGENDA

Monday, October 23, 2017
1 to 4PM
MIA Hearing Room, 24th Floor
200 St. Paul Place
Baltimore, MD 21202
AGENDA

Monday, September 25, 2017
1 to 4PM
MIA Hearing Room, 24th Floor
200 St. Paul Place
Baltimore, MD 21202
AGENDA

Friday, August 11, 2017
10am to 1PM
HGO Committee Room 240
6 Bladen Street, House Office Building
Annapolis, MD 21401
AGENDA

Wednesday, July 26, 2017
11am to 2PM
HGO Committee Room 240
6 Bladen Street, House Office Building
Annapolis, MD 21401
AGENDA

Any questions, comments or submissions on Health Insurance Pharmaceutical Services Workgroup can be sent to: pharmacyservicesworkgroup.mia@maryland.gov

Lymphedema Workgroup

Lymphedema Workgroup Report
January 10, 2018

Meeting Schedule

Thursday, September 14, 2017
1-3 PM
MIA Hearing Room, 24th Floor
200 St. Paul Place
Baltimore, MD 21202
Conference Call Number: 866-247-6034
Participation Code: 1573490062
AGENDA
Click HERE for further information on the meeting

Tuesday, September 5, 2017
1-4 PM
MIA Hearing Room, 24th Floor
200 St. Paul Place
Baltimore, MD 21202
AGENDA

Any questions, comments or submissions on the Lymphedema Workgroup can be sent to: lymphedemaworkgroup.mia@maryland.gov

Del. Shane Pendergrass Letter to MIA Re: HB 667 Health Insurance - Coverage for Lymphedema Diagnosis, Evaluation, and treatment

Short-Term Medical Study

Short-Term Medical Working Group Report
December 29, 2017

Meeting Schedule

Tuesday, August 15, 2017
10AM to 1PM
Senate Finance Committee Hearing Room
11 Bladen Street
Annapolis, MD 21401
AGENDA

PRESENTATION: Maryland Association of Health Underwriters, National Association of Insurance & Financial Advisors of Maryland, Petersen International Underwriters.
August 15, 2017

Any questions, comments or submissions on the Short-Term Medical Study can be sent to: shorttermmedicalstudy.mia@maryland.gov

PANDAS

Maryland Insurance Administration