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Bill > H1734


MA H1734

MA H1734
Removing administrative barriers to behavioral health services


summary

Introduced
01/22/2019
In Committee
01/22/2019
Crossed Over
Passed
Dead
12/31/2020

Introduced Session

191st General Court

Bill Summary

Relative to prior authorization requirements for inpatient mental health services within the MassHealth program. Mental Health, Substance Use and Recovery.

AI Summary

This bill aims to remove administrative barriers to accessing inpatient mental health services within the MassHealth program. The key provisions are: 1) it prohibits MassHealth and its contracted insurance providers from requiring preauthorization or prior authorization before obtaining medically necessary inpatient psychiatric care, 2) it requires the healthcare facility to notify MassHealth of the admission within 48 hours, and 3) it allows for utilization review procedures to be initiated after 48 hours of admission. The bill also clarifies that behavioral health screenings conducted by Emergency Service Program teams are not considered a preauthorization requirement. Overall, the goal is to streamline the process for accessing inpatient mental health services for MassHealth members.

Committee Categories

Health and Social Services

Sponsors (15)

Last Action

Accompanied a study order, see H5100 (on 11/23/2020)

bill text


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