Bill > H2188

This bill aims to ensure equitable provider reimbursement for emergency services in Massachusetts. It defines key terms like "emergency services," "managed care organization," and "non-network provider." The bill requires that non-network providers who deliver emergency services approved by a managed care organization must accept the Medicaid reimbursement rate for those services. Additionally, the bill prohibits non-participating providers from billing the patient for any amount beyond the applicable copayment, coinsurance, or deductible that would be owed if the patient had used a participating provider. This is intended to protect patients from higher out-of-pocket costs when they receive emergency care from a non-network provider.

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https://malegislature.gov/Bills/190/H2188