Bill > H1233

This bill aims to establish consumer protections for health insurance and the Division of Medical Assistance (MassHealth) in Massachusetts. Key provisions include: 1. Requiring the Division of Medical Assistance to make payments to participating physicians within 45 days of receiving a completed claim form, or within 15 days for electronic claims, and pay interest on late payments. The Division must also provide detailed guidelines to providers on claim submission requirements. 2. Expanding the definition of "carrier" to include the Primary Care Clinician Program and any entity providing managed care services under contract to the Division of Medical Assistance. 3. Updating the definitions of "covered benefits" and "grievance" to include services and complaints related to the Division of Medical Assistance, in addition to private health insurance carriers. 4. Exempting the Division of Medical Assistance from certain accreditation requirements and penalties that apply to other health insurance carriers. The overall goal is to improve reimbursement and customer service standards for both private health insurance and the state's Medicaid program, MassHealth.

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https://malegislature.gov/Bills/192/H1233