summary
Introduced
04/19/2018
04/19/2018
In Committee
05/31/2018
05/31/2018
Crossed Over
Passed
Dead
12/31/2018
12/31/2018
Introduced Session
190th General Court
Bill Summary
For legislation to further define medical necessity determinations; and of Kay Khan and others relative to the determination of medically necessary services for mental health treatment,- reports the accompanying bill (Senate, No. 2453).
AI Summary
This bill further defines medical necessity determinations for mental health treatment in Massachusetts. It requires the state's Group Insurance Commission, Medicaid program, and private insurers to cover medically necessary mental health acute treatment, crisis stabilization services, community-based acute treatment, and intensive community-based acute treatment for children and adolescents without requiring pre-authorization, as long as the treating clinician determines medical necessity in consultation with the patient and documents it in the patient's medical record. The bill specifies the number of covered days for each type of service and the notification and utilization review requirements for insurers.
Committee Categories
Budget and Finance, Health and Social Services
Sponsors (0)
No sponsors listed
Last Action
Committee recommended ought to pass and referred to the committee on Senate Ways and Means (on 05/31/2018)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://malegislature.gov/Bills/190/S2453 |
| Bill | https://malegislature.gov/Bills/190/S2453.pdf |
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