CT HB05373

Managed care organizations must submit annual reports to the Insurance Commissioner by May 1st containing quality assurance data, contract information, financial arrangements with providers, and claims denial statistics.

Reports must include new data on substance use disorder treatment, including prevalence estimates by county, number of patients receiving treatment by level of care, provider capacity, and plans to improve access.

Health insurers must submit data on benefit requests, utilization reviews, and external appeals for substance use disorders, co-occurring disorders, and mental health treatment, organized by age groups and level of care.

The Insurance Commissioner shall publish a "Consumer Report Card on Health Insurance Carriers in Connecticut" by October 15 annually, comparing managed care organizations and the 15 largest licensed health insurers on medical loss ratios, claims data, and mental health and substance use disorder treatment information.

The Connecticut Health Insurance Exchange board must report quarterly through March 31, 2016 on progress toward providing all-payer claims database data required for substance use disorder and mental health reporting.