Bill > S467

This bill amends Massachusetts state law to regulate reimbursement rates for nursing homes participating in the MassHealth senior care options (SCO) program. Specifically, the bill requires that when MassHealth contracts with senior care organizations to provide coordinated services on a capitated basis (a payment model where providers receive a fixed amount per patient), these organizations must reimburse nursing homes at a rate no lower than the current Medicaid fee-for-service payment rate. The bill mandates that these reimbursement payments must include room and board costs and all additional rate add-ons outlined in regulation 101 CMR 206, with the goal of ensuring nursing homes have adequate funding to provide critical services and facilitate smooth patient transitions from hospitals to nursing facilities. This provision aims to support the financial sustainability of nursing homes and maintain the quality of care for MassHealth senior patients.

Health and Social Services

https://malegislature.gov/Bills/194/S467