Adopted

Redraft 45

Corrective Amendment

Mr. Brewer moved that the bill be amended by striking out section 32 and inserting in place thereof the following section:-

“SECTION 32. Item 4000-0500 of section 2 of chapter 38 of the acts of 2013 is hereby amended by adding the following words:- ; provided further, that MassHealth shall implement all Current Procedural Terminology, or CPT, evaluation and management codes for behavioral health services in accordance with the new CPT evaluation and management codes as most recently adopted by the American Medical Association and the Centers for Medicare and Medicaid Services, or CMS; provided further, that if a code is covered under a MassHealth fee schedule and paid on the medical surgical benefit, then the code shall reimburse providers the same rate as provided in nonfacility settings on the behavioral health and substance abuse benefit; provided further, that the office of Medicaid shall work with its actuary to ensure that capitation rates for contracting managed care organizations appropriately account for changes in MassHealth provider rates for all rate changes associated with incremental increases for behavioral health services; provided further, that not later than December 15, 2013, the office of Medicaid shall report to the house and senate committees on ways and means the methodology used to create actuarially-sound capitation rates for contracting managed care organizations to reflect changes to behavioral health services payments; provided further, that any integrated care organization, managed care entity or behavioral health carve-out entity that manages behavioral health services on behalf of the commonwealth shall implement all CPT evaluation and management codes for behavioral health services in accordance with the new CPT evaluation and management codes as most recently adopted by the American Medical Association and CMS; provided further, that any integrated care organization, managed care entity or behavioral health carve-out entity that manages behavioral health services on behalf of the commonwealth shall be required to pay, at a minimum, the MassHealth rates of payment for all CPT evaluation and management codes for behavioral health services by January 1, 2014; and provided further, that MassHealth shall review and adjust all rates of payment accordingly for mental health services provided in community health centers and mental health centers by January 1, 2014.”; and

in section 52, in line 553, by striking out the figure “06” and inserting in place thereof the following words:- “Local R1-255”; and

by inserting after section 58 the following section:-

“SECTION 58A. Section 46 is hereby repealed.”; and

by adding the following section:-

“SECTION 61. Section 58A shall take effect on January 31, 2014.”