SENATE DOCKET, NO. 1453        FILED ON: 1/16/2015

SENATE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 570

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

Sal N. DiDomenico

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To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:

The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:

An Act relative to continuity of care for families enrolled in MassHealth.

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PETITION OF:

 

Name:

District/Address:

Sal N. DiDomenico

Middlesex and Suffolk

Barbara A. L'Italien

Second Essex and Middlesex

Jason M. Lewis

Fifth Middlesex

Marjorie C. Decker

25th Middlesex

Paul R. Heroux

2nd Bristol

Steven Ultrino

33rd Middlesex

Linda Dorcena Forry

First Suffolk

Brian A. Joyce

Norfolk, Bristol and Plymouth

Timothy J. Toomey, Jr.

26th Middlesex

David T. Vieira

3rd Barnstable

Denise Provost

27th Middlesex

Michael O. Moore

Second Worcester

Joan B.  Lovely

Second Essex

Mark C. Montigny

Second Bristol and Plymouth


SENATE DOCKET, NO. 1453        FILED ON: 1/16/2015

SENATE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 570

By Mr. DiDomenico, a petition (accompanied by bill, Senate, No. 570) of Sal N. DiDomenico, Barbara L'Italien, Jason M. Lewis, Marjorie C. Decker and other members of the General Court for legislation to continue care for families enrolled in MassHealth.  Health Care Financing.

 

The Commonwealth of Massachusetts

 

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In the One Hundred and Eighty-Ninth General Court
(2015-2016)

_______________

 

An Act relative to continuity of care for families enrolled in MassHealth.

 

Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows:
 

Section 1.  Chapter 118E of the General Laws is hereby amended by inserting after section 9F the following new section:-

Section 9G. Primary Care Assignments

(a)  In the case of a MassHealth member under the age of 18 who is re-enrolled in MassHealth after a lapse in MassHealth coverage of less than 18-months duration, the office of Medicaid shall make every effort to assign the child to the same primary care provider that either, in order of priority:

(1)  The family had designated as the primary care provider of choice for the child; or

(2)  The child had been assigned by MassHealth previously.

In all cases a more recent, active choice by the family of another primary care provider for the child shall take priority over any of the above.

(b) In the case of a MassHealth member under the age of 18  who is enrolled in a Managed Care Plan during a change of networks or contractual arrangements, Medicaid and the plan shall make every effort to assign the child to a new plan that allows for access to the same primary care provider that either in priority:

(1)  The family had designated as the primary care provider of choice for the child; or

(2)  The child had been assigned to previously.

(c)  In the case of a newborn child enrolled in MassHealth who is born to, or adopted by a custodial parent with other children who are enrolled in MassHealth, the office of Medicaid shall make every effort to assign the newborn child to the same primary care provider that sees the older children.  In the event that the child’s older siblings are assigned to different primary care providers, the office of Medicaid shall assign the child to the same primary care provider as the next youngest child.  In all cases, the custodial parents' active choice of a different primary care provider shall be honored.

(d)  Primary care assignments not meeting the criteria of subsections (a)(b) and (c) above shall not prevent a child from seeing the provider to which they should have been assigned had this criteria been followed by MassHealth, and shall not prevent a primary care provider from being reimbursed for any visit that would have been reimbursed had the requirements of this section been met.