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Bill > S809


MA S809

Relative to MassHealth provider reimbursement


summary

Introduced
03/29/2021
In Committee
05/25/2021
Crossed Over
Passed
Dead
12/31/2022

Introduced Session

192nd General Court

Bill Summary

For legislation relative to MassHealth provider reimbursement. Health Care Financing.

AI Summary

This bill aims to enhance MassHealth provider reimbursement for local education authorities (LEAs) that enroll as MassHealth providers. It defines key terms like "administrative activities" and "direct nursing services" that LEAs can seek reimbursement for when providing these services to school-age children who are eligible MassHealth beneficiaries. The bill requires the Executive Offices of Health and Human Services and Education to ensure LEAs implement a plan to obtain MassHealth reimbursement for these services, and allows LEAs to directly submit claims for reimbursement. It also mandates that any reimbursement received by LEAs must be used to fund their school health services programming, including behavioral health, case management, and other related services.

Committee Categories

Education, Health and Social Services

Sponsors (2)

Last Action

Accompanied a new draft, see S2787 (on 03/24/2022)

bill text


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