Bill > H941

This bill aims to increase MassHealth rates and enhance health insurance consumer protections. The key provisions are: 1. Requiring MassHealth rates to be equal to or greater than the federal Medicare rates for the same services and establishing a single reimbursement fee schedule for all Title XIX Accountable Care Organizations providing care to MassHealth recipients. 2. Mandating timely payments by the Division of Medical Assistance (MassHealth) to participating physicians, with interest penalties for late payments, and requiring the Division to provide detailed guidelines to providers on claim submission requirements. 3. Expanding the definition of "carrier" to include the Primary Care Clinician Program or any entity providing managed care services under contract to MassHealth, and the definition of "covered benefits" to include services covered under MassHealth. 4. Extending the grievance process and consumer protections under Chapter 176O to MassHealth recipients, in addition to private insurance enrollees. 5. Subjecting MassHealth, like private insurance carriers, to regulations and oversight by the Bureau of Managed Care within the Center for Health Information and Analysis.

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https://malegislature.gov/Bills/191/H941