Comments on Revised QTL Template and Instructions

Summary

This letter, dated June 18, 2020, from NAIC Consumer Representatives, provides feedback on the revised draft Quantitative Treatment Limit (QTL) template and instructions. It emphasizes the need for clear guidance to ensure accurate classification and evaluation of benefits for parity between medical/surgical and behavioral health benefits. The letter highlights concerns about mis-categorization, discretion in approving benefits, and the importance of independent analysis by regulators.

Commen.Ltr_-Revised-draft-QTL-template-and-instructions_2020
Comments on Revised QTL Template and Instructions

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Prescription drugs
Other health
Other
Mental and behavioral health
Major reports
Long term care
Health equity
Appeals, denials, and prior authorization