Bill > H1050

This bill aims to improve patient access to non-emergency medical transportation. The key provisions are: 1. Requiring prior authorization for non-emergency ambulance and wheelchair van transportation to inpatient and outpatient dialysis treatment, behavioral health services, and post-acute care to be valid for a minimum of 3 business days. 2. Mandating that the Medicaid program (MassHealth) and its contracted health insurers, plans, and administrators pay eligible providers and non-public ambulance service providers at least 2.5 times the determined rates for authorized non-emergency ambulance and wheelchair van services when transporting covered members to certain treatments and services. 3. Directing the Health Policy Commission, in collaboration with the Center for Information and Analysis, to study the adequacy of reimbursement rates for non-emergency medical transportation, including the impact of external economic factors on the emergency medical service workforce. The bill seeks to ensure that patients have uninterrupted access to critical non-emergency medical transportation services, particularly for dialysis, behavioral health, and post-acute care needs, by addressing prior authorization and reimbursement issues.

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https://malegislature.gov/Bills/193/H1050