Bill > S2106

This bill expands medical assistance coverage to include community-based care services for eligible recipients, aiming to prevent hospitalizations and nursing facility admissions. The Executive Office of Health and Human Services (EOHHS) will establish a system for reimbursing licensed medical professionals, such as doctors, nurses, and paramedics, when they provide these community medical services. Eligibility for these services is determined if an individual has frequently used hospital emergency departments or if their primary healthcare provider believes these services could prevent a hospital or nursing facility admission or facilitate a nursing facility discharge. These community medical services must be part of a care plan ordered by a primary healthcare provider, coordinated with other health providers, and should not duplicate existing services like home health care. The bill outlines specific services that qualify, including health assessments, chronic disease management, medication support, and follow-up care after hospital discharge, and requires EOHHS to seek federal approval for implementation.

Health and Social Services

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