Mental Health and Substance Use Disorder NQTL Reports

To carriers: pursuant to § 15-144 of the Insurance Article, Annotated Code of Maryland and COMAR 31.10.51, on or before September 1, 2026, and every two years thereafter, each carrier subject to this law must submit a comparative analysis report to the Maryland Insurance Administration (MIA) for each product offered by the carrier in the individual, small, and large group markets. The reports must be submitted using only the templates and associated instructions developed by the Commissioner and posted below, on the MIA’s website. Reports should be submitted to the MIA via email at: [email protected]. Please email the MIA at [email protected] if you need assistance in accessing the files below.

MHPAEA Compliance Reporting Instructions, NQTL, Seven Step Analysis
MHPAEA Summary Form
Data Supplments
a. NQTL Analysis Report Template
b. Overview of Claims Data
c. DS 1, In-Network Reimbursements, Office Visit Professional
d. DS 2, Out-of-Network Utilization and Gap Exceptions
e. DS 3, Crisis and Emergency
f. DS 4, Experimental, Investigational, and Unproven
g. DS 5(A), Medical Necessity Denial Rates
h. DS 5(B), Medical Necessity - ASAM