Staying on top of regulatory compliance standards can be a little tricky.
We’ve compiled what’s new to help you stay in the know!
West Virginia PBM Prescription Drug Transparency
Meritain Health Pharmacy Solutions (MPS) is pleased to support the people of West Virginia as a licensed Pharmacy Benefit Administrator…
Georgia PBM Prescription Drug Transparency
Meritain Health Pharmacy Solutions (MPS) is pleased to support the people of Georgia as a licensed Pharmacy Benefit Administrator (PBM)…
Additional FAQs issued for COBRA premium assistance
Since the signing of the American Rescue Plan Act of 2021 into law in March, guidance around the COBRA premium…
HSA amounts announced for 2022
The IRS has announced the 2022 Health Savings Account (HSA) contribution limits and the minimum deductible required for a plan…
PCORI fee reminder
The deadline for the PCORI fee is right around the corner. As a reminder, this fee must be paid by…
Annual Increase to Penalty Amounts for Compliance Violations
The Department of Health and Human Services has announced its annual adjustments to civil monetary penalties for HIPAA Administrative Simplification,…
2020 Cost of Living Adjustments
On November 6, 2019, the IRS released the 2020 cost of living adjustments for tax-related limits on salary reductions for…
Regulatory Compliance Self-Funded Health Plan Compliance Calendar
There are many compliance requirements placed on health plans. We’ve created a tool to help you keep these requirements on…
HIPAA: Breach Notification
The HIPAA Breach Notification Rule requires HIPAA covered entities and their business associates to provide notification following a breach of…
HIPAA: Authorized Uses and Disclosures
Covered entities may use their professional judgment when releasing information to a member or in the course of what is…
HIPAA: Minimum Necessary Rule
The minimum necessary rule is a key protection of the HIPAA Privacy Rule. It is based on the premise that…
HIPAA: Notice Requirements
Who must provide HIPAA Notices? Covered entities (typically the Health Plan) must provide notice to their members which describe the…
HIPAA: How the Privacy Rule Applies to Different Health Plan Types
Self-Insured Group Health Plans and their sponsors: The self insured group plan is required: • To comply with the use…
What is HIPAA?
HIPAA is an acronym that stands for the Health Insurance Portability and Accountability Act of 1996. (HIPAA) and its administration…
HIPAA Privacy
The Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and its administration simplification provisions established rules and regulations around…
HIPAA Definitions
What is Protected Health Information (PHI)? The Privacy Rule defines PHI as individually identifiable health information, held or maintained by a…
Electronic Distribution Requirements Under ERISA
Most employers like to electronically distribute their required plan disclosure materials, such as the Summary Plan Description (SPD), initial COBRA…
Mental Health Parity Reminder- Red Flag Checklist
What are some red flags that plans should be on the lookout for to ensure they remain in compliance with…
Oregon Members Right to Request Confidential Communications
Under federal HIPAA requirements, members already have the right to request certain restrictions on the way their health plan uses…
Section 111 Reporting and the Data Match Questionnaires from Centers for Medicare & Medicaid Services (CMS)
Many employers are receiving Data Match Questionnaires directly from CMS. These questionnaires are separate from Section 111 and require employers…
HIPAA Reminder
We all know there are many things to consider when keeping your health plan in compliance. HIPAA’s privacy and security…
Medicare Part D Notification Requirements
Medicare Part D is a voluntary prescription drug benefit. There are two notification requirements tied to this benefit: One to…
Meritain Health Follows Aetna Clinical Bulletins
Meritain Health follows all Aetna Clinical Bulletins. These may be found here.