Bill > S913

This bill aims to stabilize adult day health services (ADH) by modifying existing Massachusetts healthcare financing laws. The bill gives the secretary of the executive office the responsibility to establish payment rates for Adult Day Health Service providers, taking into account several key factors including the cost of governmental mandates, changes in reasonable costs of goods and services (using the HCP CPI - Healthcare Provider Consumer Price Index), establishing wages and benefits comparable to other healthcare settings, and accounting for individual provider differences in real estate and capital costs. The bill also introduces a biennial rate-setting process, mandating that rates be established every two years starting July 1, and requires MassHealth to reimburse Adult Day Health Programs for reserved program slots during leaves of absence - specifically up to 20 medical leave days and 10 non-medical leave days per year. This ensures that participants can maintain their program slot during necessary absences, with medical leaves defined as medically necessary absences and non-medical leaves covering other scheduled absences, thereby providing more stability and financial predictability for both service providers and participants.

Health and Social Services

https://malegislature.gov/Bills/194/S913