An Act removing barriers to behavioral health services
This bill removes preauthorization requirements for medically necessary mental health and substance use disorder services for employees and Medicaid recipients in Massachusetts. It mandates that insurance carriers cover these treatments without requiring prior approval, provided the facility notifies the insurer within three days of admission with basic patient and treatment details. Additionally, the legislation limits the time insurance companies have to recoup payments for these services and restricts denials based on retroactive eligibility changes or utilization reviews.
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0 primary · 4 co-sponsors
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