Bill > H2212

This bill extends patient protections to recipients of MassHealth, the state's Medicaid program. The key provisions are: 1. Requires timely payment of claims to participating physicians within 45 days (or 15 days for electronic claims) and imposes interest penalties for late payments. 2. Mandates the Division of Medical Assistance to provide detailed guidelines to providers on claim submission requirements. 3. Prohibits the Division from recouping, reducing, or retroactively denying payments to physicians for services provided over a year ago without 90 days' prior written notice. 4. Expands the definition of "carrier" to include the Division of Medical Assistance and its managed care arrangements, extending consumer protection regulations to MassHealth. 5. Extends the definition of "insured" to include MassHealth recipients, allowing them to utilize the grievance procedures available to private insurance enrollees. The overall purpose of the bill is to provide similar patient protections to MassHealth recipients as those enjoyed by private insurance enrollees, particularly regarding timely payments, claim processing, and grievance procedures.

Health and Social Services

https://malegislature.gov/Bills/190/H2212