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An act amending Arkansas law concerning procedures and deadlines for elections, as well as other related provisions.
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How to fill out SB855

01
Gather all necessary personal information, including the patient's details.
02
Complete the provider information section with the relevant healthcare provider's data.
03
Input the patient's diagnosis and relevant medical history in the appropriate fields.
04
Fill out the treatment details, including dates and types of therapy received.
05
Attach any required supporting documents or additional information as necessary.
06
Review the completed form for accuracy and completeness.
07
Submit the SB855 form to the appropriate insurance company or healthcare entity.

Who needs SB855?

01
Patients seeking reimbursement for medical services or treatments.
02
Healthcare providers submitting claims for services rendered.
03
Insurance companies requiring information to process claims.
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If your health plan withholds authorization, denies care, or denies payment for mental or behavioral services because the member has not yet tried and failed at a lower level of care, this is likely a federal parity law violation.
Under California law, health plans must cover medically necessary basic health care services, including speech, physical, and occupational therapy services. In addition, state parity law requires health plans cover medically necessary diagnosis and treatment for certain mental health conditions.
The Mental Health Parity and Addiction Equity Act (MHPAEA) provides federal protections for certain types of health plans. This parity requires health “insurance” plans to cover mental health and substance use disorders in a similar way to medical and surgical benefits.
THE SOLUTION. Starting July 1, 2022, a new law, SB 221, goes into effect requiring that HMOs and health insurers provide follow-up mental health and substance use disorder therapy appointments within 10 business days — unless the treating therapist determines that a longer wait would not be detrimental.
Senate Bill 855 strengthens the California Parity Act to require that insurers cover medically necessary treatment for all mental health and substance use disorders (MH/SUD) to ensure individuals receive the comprehensive care they need to treat their underlying conditions.
On September 23, 2024, the federal government issued final rules requiring health plans to provide “meaningful benefits” for mental health or substance use disorders in coverage categories where medical or surgical benefits are also provided.

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SB855 is a California state law that was enacted to require certain healthcare entities to report specific health care data to improve transparency and patient care.
Healthcare providers, health plans, and related entities that meet the criteria set by the law are required to file SB855.
To fill out SB855, organizations must complete the specified forms, providing detailed information about their healthcare services, billing practices, and patient demographics as outlined in the instructions provided by the state.
The purpose of SB855 is to enhance healthcare transparency, allowing for better tracking of healthcare services, costs, and outcomes to ultimately improve patient care and lower costs.
Information reported on SB855 typically includes patient demographics, service utilization data, billing information, and health outcomes, as specified by the regulations accompanying the law.
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