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MHP AEA Summary FormMHPAEA Summary Form Instructions below summary form is prepared to satisfy the requirements of 15144 (m)(2), Insurance Article, Annotated Code of Maryland. The summary form must
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How to fill out mhpaea summary form

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How to fill out mhpaea summary form

01
Obtain the MHPAEA summary form from the appropriate regulatory body or website.
02
Fill out the employer and plan information sections, including the plan name and sponsor, contact information, and plan type.
03
Complete the quantitative analysis section, which includes information on the plan's treatment limitations, financial requirements, and quantitative treatment limitations.
04
Fill out the non-quantitative treatment limitations section, which details any non-quantitative treatment limitations imposed by the plan.
05
Submit the completed form to the regulatory body or appropriate entity as required.

Who needs mhpaea summary form?

01
Insurance companies
02
Employers offering mental health and substance use disorder benefits
03
Regulatory bodies overseeing compliance with the MHPAEA
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The mhpaea summary form is a document used to report compliance with the Mental Health Parity and Addiction Equity Act (MHPAEA).
Employers or group health plans that provide mental health or substance use disorder benefits are required to file the mhpaea summary form.
The mhpaea summary form can be filled out online through the Department of Labor's website or manually by providing information about the plan's mental health and substance use disorder benefits.
The purpose of the mhpaea summary form is to demonstrate compliance with the MHPAEA by ensuring that mental health and substance use disorder benefits are provided on par with medical and surgical benefits.
Information such as details of the plan's mental health and substance use disorder benefits, financial requirements, treatment limitations, and compliance status with the MHPAEA must be reported on the mhpaea summary form.
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