Health Care and Life Sciences > Health Reform Resource Center > Agencies Request Information to Develop Process for External Health Plan Reviews
17 Nov '10

The Department of Health and Human Services (“HHS”) and the Department of Labor (“DOL”) on November 12, 2010 issued a Request for Information on operational issues associated with implementing a federal external review process for health plan claims and coverage denials.  The federal review process would apply in states whose external process does not meet minimum federal standards under the Patient Protection and Affordable Care Act as described in July 23, 2010 Interim Final Regulations issued by HHS, DOL, and the Internal Revenue Service.  Comments in response to the Request for Information are due on December 8, 2010.