Bill > S765

This bill seeks to increase access to urgent care centers by amending Chapter 118E of the General Laws to require any medical assistance or benefits program where the state's Division of Medical Assistance is the primary payer to cover urgent care services provided by licensed urgent care facilities for non-emergency medical conditions. The bill allows beneficiaries to seek urgent care without prior authorization from their primary care provider, though the division or its designee may require the beneficiary to contact them or the primary care provider within 48 hours. The bill also prohibits the division from making retroactive changes to treatment or reimbursement decisions made in accordance with this new provision, and requires the division to comply with applicable confidentiality laws when conducting utilization review activities.

Health and Social Services

https://malegislature.gov/Bills/192/S765