OLR BILL ANALYSIS

HB 5387

AN ACT CONCERNING HEALTH INSURANCE CLAIM FORMS AND THE DEVELOPMENT OF A UNIFORM TREATMENT AUTHORIZATION FORM FOR MENTAL HEALTH SERVICES.

SUMMARY:

This bill allows a health care provider to submit his or her National Provider Identifier (NPI), instead of a federal tax identification number, on the standard Health Care Financing Administration 1500 (HCFA 1500) health insurance claim form. The NPI is assigned by the Centers for Medicare and Medicaid Services' National Plan and Provider Enumeration System. A federal tax identification number can be a provider's Social Security Number.

The bill also requires the public health commissioner, by January 1, 2013, to develop a uniform treatment authorization form for mental health services. She must (1) develop the form in consultation with the insurance commissioner, mental health and addiction services commissioner, attorney general, and healthcare advocate and (2) submit to the Public Health Committee, by January 15, 2013, any necessary proposed legislation to implement the use of the form.

The bill requires health care providers and hospitals to use the uniform authorization form when obtaining patient authorization and information for the provision of mental health services. The form must comply with state and federal mental health parity and privacy laws, including the Health Insurance Portability and Accountability Act.

EFFECTIVE DATE: Upon passage, except for the HCFA 1500 claim form change, which is effective October 1, 2012.

COMMITTEE ACTION

Insurance and Real Estate Committee

Joint Favorable

Yea

18

Nay

1

(03/13/2012)