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101 chapters · 1,108 sections in this title.
D.C. Code § 31-3175.01 Definitions
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For the purposes of this chapter, the term: (a)(1) "Benefits" means the health care services covered by a health insurer under a health benefits plan. (2) "Department" means the Department of Insurance, Securities, and Banking. (3) "Health benefits plan" shall have the same meani…
D.C. Code § 31-3175.02 Compliance and enforcement
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(a) All health insurers offering health benefits plans, including Medicaid, in the District that provide mental health condition and substance use disorder benefits, shall comply with the requirements of MHPAEA. (b) The Department shall enforce the requirements of this chapter by…
D.C. Code § 31-3175.03 Reporting requirements
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(a) Beginning October 1, 2019, and on an annual basis thereafter, health insurers shall submit a report to the Department containing the following information: (1)(A) The frequency with which the health insurers health benefits plan required: (i) Prior authorization for all presc…
D.C. Code § 31-3175.04 Non-quantitative treatment limitations
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A health insurer shall not impose a non-quantitative treatment limitation with respect to a mental health condition or substance use disorder for any classification of benefits unless, under the terms of the health benefits plan, as written and in operation, any processes, strate…
