Bill > H2220

This bill aims to improve access to psychiatric collaborative care by mandating specific reimbursement requirements across various healthcare entities in Massachusetts. The bill defines the psychiatric collaborative care model as an evidence-based integrated behavioral health service where a primary care team (including a provider and care manager) works with a psychiatric consultant to manage patient care. It requires all managed care entities, including health insurers, health plans, health maintenance organizations, and accountable care organizations, to increase minimum payment rates for specific psychiatric collaborative care billing codes (99492, 99493, 99494, and G2214) to match or exceed the current Medicare Resource-Based Relative Value Scale physician fee schedule, with annual adjustments. Additionally, the bill directs the state's Medicaid division to ensure these billing codes are removed from sub-capitation rates and instead paid on a fee-for-service basis. By standardizing and potentially increasing reimbursement rates, the bill seeks to incentivize and support the implementation of collaborative psychiatric care models, which can improve mental health treatment accessibility and coordination across primary and psychiatric care settings.

Health and Social Services

https://malegislature.gov/Bills/194/H2220