Bill > H1406

This bill aims to improve continuity of care for MassHealth members with chronic conditions by modifying prior authorization requirements for long-term care services. The bill defines "community long-term care services" to include various support services like Adult Day Health, Personal Care Attendant Services, and services in the Frail Elder Waiver, and defines a "chronic condition" as a persistent health condition expected to last more than one year, including intellectual or developmental disabilities. Under the new provisions, when MassHealth requires prior authorization for long-term services and supports addressing a chronic condition, these authorizations will be valid for up to five years, providing more stability for patients. The bill also allows for service plan modifications if a member's condition changes, ensuring flexibility. Additionally, the bill enables Aging Services Access Points (ASAPs) to conduct service authorizations for community long-term care services, with the goal of promoting prompt service delivery. This legislation seeks to reduce administrative barriers and improve access to continuous care for vulnerable populations with chronic conditions in Massachusetts.

Health and Social Services

https://malegislature.gov/Bills/194/H1406