No Surprises Act
Beginning January 1, 2022, the No Surprises Act (H.R. 133) will go into effect. The law includes new requirements for health care providers, facilities, health plans and insurers which are intended to prevent consumers (a.k.a. patients) from receiving unanticipated medical bills. The No Surprises Act resulted in changes to the Public Health Service Act1 that also apply to health care providers and facilities.
as of January 1, 2022, any health care provider or health care facility subject to state licensure must provide a good faith estimate of expected charges for services and items within specific timeframes to current and future patients. These new regulations set forth specific requirements for what these good faith estimates must contain and add to MFT providers’ recordkeeping responsibilities. Part 2 of the regulations for the No Surprises Act also establishes a process for consumers to dispute provider charges that “substantially exceed” a good faith estimate.
Good Faith Estimates
Available for all all uninsured and self-pay clients
You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.