MA S739

Bill

Relative to MassHealth rates

Introduced
03/29/2021

In Committee
03/29/2021

Crossed Over

Passed

Dead
12/31/2022

Introduced Session

192nd General Court

Bill Summary

For legislation relative to MassHealth rates. Health Care Financing.

AI Summary

This bill amends Chapter 118E and Chapter 176O of Massachusetts law to establish new requirements and protections for the MassHealth program, which provides medical assistance to eligible individuals in the state. Key provisions include: - Requiring the Division of Medical Assistance to make payments or provide written notification to participating physicians within specific timeframes, and to pay interest on late payments. - Requiring the Division to provide detailed written guidelines to providers on reimbursement claim requirements and policies. - Prohibiting the Division from recouping, reducing, or retroactively denying payments to physicians for services provided over a year prior without 90 days' notice. - Expanding the definition of "carrier" under Chapter 176O to include the Division of Medical Assistance and its managed care arrangements, extending certain consumer protection provisions to MassHealth. - Modifying definitions related to covered benefits, grievances, and insureds/assistance recipients under Chapter 176O. - Exempting the Division of Medical Assistance from certain accreditation and reporting requirements applicable to other health insurance carriers. The overall intent appears to be enhancing transparency, timeliness, and fairness in the MassHealth reimbursement process, as well as extending certain consumer protections to MassHealth enrollees.

Committee Categories

Health and Social Services

Sponsors (1)

Michael Brady (D)*,

Last Action

Accompanied a study order, see S2800 (on 03/31/2022)

Official Document

https://malegislature.gov/Bills/192/S739

(12 Companion Bills)

Version:

Document Type	Source Location
State Bill Page	https://malegislature.gov/Bills/192/S739
Bill	https://malegislature.gov/Bills/192/S739.pdf

Bill	Bill Name	Last Action	Type
H1242	Relative to transfers of assets by MassHealth members	Accompanied S801	Similar To
H1249	Relative to establishing a commission to investigate fraudulent acts in Mass Health	Accompanied a study order, see H5201	Similar To
H1306	Relative to personal care attendant services	Accompanied S818	Similar To
H2286	To reduce fraud in prescription drug abuse testing and help prevent substance abuse	Accompanied a study order, see H5197	Similar To
H722	Relative to early-onset Alzheimer's disease	Accompanied a study order, see H5222	Similar To
S2800	Order relative to authorizing the joint committee on Health Care Financing to make an investigation and study of certain current Senate documents relative to health care financing	Discharged to the committee on Senate Rules	Replaced by
S401	Establishing adequate funding for residents of Massachusetts nursing homes	Accompanied a study order, see S2650	Similar To
S741	To protect MassHealth applicants facing undue hardship	Bill reported favorably by committee and referred to the committee on Senate Ways and Means	Similar To
S775	Providing access to patient protection services for MassHealth consumers	Accompanied a study order, see S2800	Similar To
S776	To require equitable access to behavioral health services for MassHealth consumers	Accompanied a study order, see S2917	Similar To
S789	To promote graduate medical education	Bill reported favorably by committee and referred to the committee on Senate Ways and Means	Similar To
S818	Relative to personal care attendant services	Bill reported favorably by committee and referred to the committee on Senate Ways and Means	Similar To

Bill > S739

MA S739

summary

Introduced Session

Bill Summary

AI Summary

Committee Categories

Sponsors (1)

Last Action

Official Document

bill text

bill summary

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