An Act relative to access to psychiatric collaborative care
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Overview
This bill aims to ensure consistent and adequate reimbursement rates for psychiatric collaborative care services in Massachusetts. It amends several sections of state law to require insurance policies and healthcare contracts to pay at least the Medicare Resource-Based Relative Value Scale physician fee schedule for specific billing codes used for this type of care, with adjustments made annually. The bill also clarifies which billing codes are covered and establishes a timeline for these changes to take effect.
Key provisions
- Requires insurance policies and contracts to pay at least the Medicare Resource-Based Relative Value Scale for psychiatric collaborative care billing codes.
- Establishes minimum payment rates for specified billing codes (99492, 99493, 99494, and G2214).
- Allows for the addition of further billing codes and payment rates through regulations.
- Sets a date of January 1, 2027, for the application of these changes.
- Addresses reimbursement for psychiatric collaborative care within various healthcare financing frameworks.
- Specifies that payment rates must be adjusted annually.
- Includes provisions related to Medicaid and private insurance.
- Clarifies the scope of covered services through the definition of psychiatric collaborative care.
Who is affected
- Healthcare providers offering psychiatric collaborative care services
- Insurance companies (private and public)
Bill text
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Sponsors
Official sponsors from legislative records.
6 on record
Primary sponsor
Substance Use and Recovery Joint Committee on Mental Health
Cosponsors
Kathleen R. LaNatra
Michael D. Brady
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