HOUSE DOCKET, NO. 1260        FILED ON: 2/3/2021

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 1057

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

Marjorie C. Decker

_________________

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 collaborative care.

_______________

PETITION OF:

HOUSE DOCKET, NO. 1260        FILED ON: 2/3/2021

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 1057

The Commonwealth of Massachusetts

_______________

In the One Hundred and Ninety-Second General Court
(2021-2022)

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An Act relative to collaborative care.

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. Section 22 of Chapter 32A of the General Laws is hereby amended by adding the following new subsection at the end thereof:-

(j) Any health plan offered by the commission shall provide reimbursement for mental health or substance abuse disorder benefits that are delivered through the psychiatric Collaborative Care Model, which shall include the following current procedural terminology (CPT) billing codes established by the American Medical Association (AMA):

(1) 99492.

(2) 99493.

(3) 99494.

(4) The commissioner of insurance shall update this list of codes through the promulgation of regulations if there are any alterations or additions to the billing codes for the Collaborative Care Model.

For the purposes of this section, “The Psychiatric Collaborative Care Model” means the evidence-based, integrated behavioral health service delivery method described at 81 FR 80230.

SECTION 2. Section 47B of Chapter 175 of the General Laws is hereby amended by adding the following new subsection at the end thereof:-

(k) Any individual policy of accident and sickness insurance issued pursuant to section 108, which provides hospital expense and surgical expense insurance, and a group blanket or general policy of accident and sickness insurance issued pursuant to section 110, which provides hospital expense and surgical expense insurance, which is issued or renewed within or without the commonwealth shall provide reimbursement for mental health and substance abuse disorder benefits that are delivered through the psychiatric Collaborative Care Model, which shall include the following current procedural terminology (CPT) billing codes established by the American Medical Association (AMA): 

(1) 99492.

(2) 99493.

(3) 99494.

(4) The commissioner of insurance shall update this list of codes through the promulgation of regulations if there are any alterations or additions to the billing codes for the Collaborative Care Model.

For the purposes of this section, “The Psychiatric Collaborative Care Model” means the evidence-based, integrated behavioral health service delivery method described at 81 FR 80230.

SECTION 3. Section 8A of Chapter 176A of the General Laws is hereby amended by adding the following new subsection at the end thereof:-

(j) Any contract between a subscriber and the corporation under an individual or group hospital service plan which is issued or renewed within or without the commonwealth shall provide reimbursement for mental health and substance abuse disorder benefits that are delivered through the psychiatric Collaborative Care Model, which shall include the following current procedural terminology (CPT) billing codes established by the American Medical Association (AMA): 

(1) 99492.

(2) 99493.

(3) 99494.

(4) The commissioner of insurance shall update this list of codes through the promulgation of regulations if there are any alterations or additions to the billing codes for the Collaborative Care Model.

For the purposes of this section, “The Psychiatric Collaborative Care Model” means the evidence-based, integrated behavioral health service delivery method described at 81 FR 80230.

SECTION 4. Section 4A of Chapter 176B of the General Laws is hereby amended by adding the following new subsection at the end thereof:-

(j) Any subscription certificate under an individual or group medical service agreement which is issued or renewed within or without the commonwealth shall provide reimbursement for mental health and substance abuse disorder benefits that are delivered through the psychiatric Collaborative Care Model, which shall include the following current procedural terminology (CPT) billing codes established by the American Medical Association (AMA): 

(1) 99492.

(2) 99493.

(3) 99494.

(4) The commissioner of insurance shall update this list of codes through the promulgation of regulations if there are any alterations or additions to the billing codes for the Collaborative Care Model.

For the purposes of this section, “The Psychiatric Collaborative Care Model” means the evidence-based, integrated behavioral health service delivery method described at 81 FR 80230.

SECTION 5. Section 4M of Chapter 176G of the General Laws is hereby amended by adding the following new subsection at the end thereof:-

(j) Any health maintenance contract issued or renewed within or without the commonwealth shall provide reimbursement for mental health and substance abuse disorder benefits that are delivered through the psychiatric Collaborative Care Model, which shall include the following current procedural terminology (CPT) billing codes established by the American Medical Association (AMA): 

(1) 99492.

(2) 99493.

(3) 99494.

(4) The commissioner of insurance shall update this list of codes through the promulgation of regulations if there are any alterations or additions to the billing codes for the Collaborative Care Model.

For the purposes of this section, “The Psychiatric Collaborative Care Model” means the evidence-based, integrated behavioral health service delivery method described at 81 FR 80230.

SECTION 6. Chapter 118E of the General Laws is hereby amended by inserting after section 10L the following section:-

Section 10M: The division and its contracted health insurers, health plans, health maintenance organizations, behavioral health management firms and third-party administrators under contract to a Medicaid managed care organization or primary care clinician plan shall provide reimbursement for mental health and substance abuse disorder benefits that are delivered through the psychiatric Collaborative Care Model, which shall include the following current procedural terminology (CPT) billing codes established by the American Medical Association (AMA):

(a) 99492.

(b) 99493.

(c) 99494.

(d) The division shall update this list of codes through the promulgation of regulations if there are any alterations or additions to the billing codes for the Collaborative Care Model.

For the purposes of this section, “The Psychiatric Collaborative Care Model” means the evidence-based, integrated behavioral health service delivery method described at 81 FR 80230.