summary
Introduced
01/22/2019
01/22/2019
In Committee
01/22/2019
01/22/2019
Crossed Over
Passed
Dead
12/31/2020
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)
Michael Day (D),
Nika Elugardo (D),
Jim Hawkins (D),
Stephen Hay (D),
Natalie Higgins (D),
John Keenan (D),
Kay Khan (D),
David LeBoeuf (D),
David Linsky (D),
Elizabeth Malia (D),
Mike Moore (D),
José Tosado (D),
Dean Tran (R),
Susannah Whipps (I),
Jon Zlotnik (D),
Last Action
Accompanied a study order, see H5100 (on 11/23/2020)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://malegislature.gov/Bills/191/H1734 |
| Bill | https://malegislature.gov/Bills/191/H1734.pdf |
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