48 96 hour rule Under the Newborns Act group health plans may not restrict benefits for mothers or newborns for a hospital stay in connection with childbirth to less than 48 hours following a vaginal delivery
Group health plans that are subject to the Newborns Act may not restrict benefits for a hospital stay in connection with childbirth to less than 48 hours following a vaginal delivery or 96 The Newborns Act requires that group health plans that offer maternity coverage pay for at least a 48 hour hospital stay following childbirth 96 hour stay in the case of Cesarean section
48 96 hour rule
48 96 hour rule
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Episode 148 Express Tip 74 The 48 Hour Rule IEvolve Consulting
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Permission for a 48 hour or 96 hour hospital stay In accordance with the Newborns and Mothers Health Protection Act a group health plan or a policy issued in the individual market However the interim final rules do not prevent a plan or issuer from requiring precertification for any portion of a stay after 48 hours or 96 hours or from requiring
The Act and its regulations provide that health plans and insurance issuers may not restrict a mother s or newborn s benefits for a hospital length of stay that is connected to childbirth to The Newborns and Mothers Health Protection Act of 1996 the Newborns Act signed into law on September 26 1996 requires plans that offer maternity coverage to pay for at least a 48
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The law provides protection on how long mothers and their newborn infants may stay in the hospital following childbirth Group health plans and health issuers may not restrict In general plans and health insurance issuers that are subject to NMHPA may NOT restrict benefits for a hospital stay in connection with childbirth to less than 48 hours following a
Under the Newborns Act may group health plans impose deductibles or other cost sharing provisions for hospital stays in connection with childbirth a 48 hour or 96 hour stay is not The 48 96 shift pattern uses three teams and three shifts to provide 24 7 coverage It consists of a 6 day cycle where each team works two consecutive 24 hour shifts
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48 96 hour rule - Plans generally may not restrict benefits for a hospital length of stay in connection with childbirth to less than 48 hours in the case of a vaginal delivery See ERISA section 711 a 1 A i