Bill > H5038

This bill aims to improve patient access to non-emergency medical transportation by ensuring that any required prior authorization for services like ambulance and wheelchair van transportation to dialysis, behavioral health services, and post-acute care is valid for at least three business days. It also mandates that MassHealth, which is the state's Medicaid program, and its contracted health insurers, health plans, and other managed care entities must pay eligible providers and nonpublic ambulance services at least two and a half times the determined rates for specific non-emergency transport services, as defined by regulations (101 CMR 327.00). Additionally, the bill requires the Health Policy Commission, in collaboration with the Center for Information and Analysis, to study the adequacy of reimbursement rates for non-emergency medical transportation from both MassHealth and commercial carriers, considering factors like minimum wage increases and competition from other industries.

Health and Social Services

Joint Committee on Financial Services (Joint)

https://malegislature.gov/Bills/194/H5038