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Department of Insurance, Securities and Banking

Release of Mental Health Information for Outpatient Mental Health Treatment Form

The Prompt Pay Act of 2002 authorizes the Commissioner of the DC Department of Insurance, Securities and Banking to publish rules and regulations necessary to implement this act. The final regulations were published in the DC Register on June 16, 2006. Therefore, from this date forward, a provider should use this form and a health insurer should accept it when a health insurer requests a treatment plan in order to adjudicate a medical health claim for outpatient mental health services.

If you have any questions, call Philip Barlow, Associate Commissioner for Insurance at (202) 442-7823.