Federal Grant Awarded to the Department of Insurance
November 2016

The Centers for Medicare and Medicaid Services at the U.S. Department of Health & Human Services announced in October that it awarded a $1.84 million grant to the California Department of Insurance. The Health Insurance Enforcement and Consumer Protection Grant awarded to the Department of Insurance will provide resources to enable the department to enhance existing efforts to protect consumers by making sure insurers are in compliance with a number of requirements of the Affordable Care Act.

Specifically the department will use the two-year grant in areas such as market conduct examinations, consumer complaint investigations, enforcement of the laws relating to parity in mental health and substance use disorder benefits, preventive services, and medical loss ratio compliance.

In August of 2016, CAMFT wrote a letter to the Department of Insurance to request the Department focus its parity enforcement efforts on the issue of provider reimbursement parity, as well as plan’s requests for preauthorization of certain behavioral healthcare services. CAMFT will keep members up to date on developments from the Department of Insurance.