HD 1566 Massachusetts House · 194th Legislature (2025-2026)

An Act relative to access to psychiatric collaborative care

This bill requires Massachusetts insurers and health plans to pay primary care providers at minimum rates equal to Medicare's standard rates for psychiatric collaborative care services, using specific billing codes (99492, 99493, 99494, and G2214). It directly affects primary care teams, psychiatric consultants, and insurers by mandating annual payment adjustments to match Medicare rates for these services. The bill specifies that these services must be paid on a fee-for-service basis, not included in bundled payments. This applies to Medicaid managed care organizations, private health insurers, and all health plans operating in Massachusetts.
Bill status Introduction 0 of 4 stages cleared
Introduction
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Governor