Statutes, codes, and regulations
Delaware Administrative Code
Title 18 - InsuranceHealth Insurance Specific Provisions
Reporting Medical Management Protocols for Insurance Coverage for Serious Mental Illness and Drug And Alcohol Dependency
Section 1410-6.0 - Report submission deadlines and deadline extension request requirements

18 Del. Admin. Code § 1410-6.0

Download
PDF
Current through Register Vol. 28, No. 5, November 1, 2024
Section 1410-6.0 - Report submission deadlines and deadline extension request requirements
6.1 Each carrier who is required to submit a mental health parity report pursuant to this regulation shall submit its initial report on or before July 1, 2019.
6.2 Each carrier who is required to submit a mental health parity report pursuant to this regulation shall submit an amended report 30 calendar days after the close of any year during which the carrier made significant changes to how it designs and applies its medical management protocols.
6.3 One copy of each report required to be prepared in accordance with this Regulation shall be submitted to each of the following addresses:

Delaware Health Information Network Attn.: Mental Health Parity Report 107 Wolf Creek Blvd. #2 Dover, DE 19901 Delaware Department of Insurance Attn: Mental Health Parity Report 1351 West North Street Suite 101 Dover, DE 19904

6.4 A carrier may request from the Commissioner an extension of the deadline for submission of the initial report to be submitted pursuant to subsection 6.1 of this regulation, and any subsequent reports to be submitted pursuant to subsection 6.2 of this regulation for due cause. To request an extension pursuant to this subparagraph, the carrier shall, no later than 30 days prior to the reporting deadline, petition the Commissioner for a reporting deadline extension, with a copy of the request to the Delaware Health Information Network, stating the reasons for the extension request.
6.4.1 No reporting deadline shall be extended for a period longer than 60 days.
6.4.2 If the Commissioner fails to affirmatively approve or disapprove an extension request within 30 days of receipt of the request, the request shall be deemed approved.
6.4.3 The Commissioner may extend the 30-day review period for not more than 30 additional days by providing the carrier with written notice of the extension before the expiration of the initial 30-day review period.

18 Del. Admin. Code § 1410-6.0

23 DE Reg. 316 (10/1/2019) (final)