SENATE DOCKET, NO. 1480        FILED ON: 2/17/2021

SENATE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 398

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

Harriette L. Chandler

_________________

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 intensive case management for clinically complex older adults.

_______________

PETITION OF:

 

Name:

District/Address:

 

Harriette L. Chandler

First Worcester

 

Elizabeth A. Malia

11th Suffolk

2/25/2021

Bradley H. Jones, Jr.

20th Middlesex

3/13/2021

Hannah Kane

11th Worcester

3/15/2021

Mike Connolly

26th Middlesex

3/22/2021

Joan B. Lovely

Second Essex

4/2/2021

Bruce E. Tarr

First Essex and Middlesex

4/20/2021


SENATE DOCKET, NO. 1480        FILED ON: 2/17/2021

SENATE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 398

By Ms. Chandler, a petition (accompanied by bill, Senate, No. 398) of Harriette L. Chandler, Elizabeth A. Malia, Bradley H. Jones, Jr., Hannah Kane and other members of the General Court for legislation relative to intensive case management for clinically complex older adults.  Elder Affairs.

 

The Commonwealth of Massachusetts

 

_______________

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

_______________

 

An Act relative to intensive case management for clinically complex older adults.

 

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

Chapter 19A of the General Laws, as appearing in the 2018 Official Edition, is hereby amended by inserting, after section 4, the following section:-

Section 4 1/2.

(a) For the purposes of this section, the following words shall have the following meanings: “Clinically Complex”. A summarized status of an individual’s clinical eligibility for receiving intensive case management.

(b) There is hereby established the intensive case management program for the purposes of supporting individuals who are current or prospective participants of the home care program established in section 4, but who are determined to be clinically complex and therefore require sustained, in-depth case management exceeding the level provided under the program. Intensive case management shall be provided to transition an individual into receiving home care program services, or to retain an active enrollee who is experiencing program participation challenges due to 1) serious mental illness or behavioral disturbances; 2) complex dynamics involving the family and informal support networks that impact the acceptance or delivery of critical home care services; or 3) multiple medical and/or functional needs that put at risk the ability of the ASAP to appropriately serve the enrollee.

(c) The department shall establish intensive case management reimbursement rates that reasonably reflect the level of expertise and commitment of time required to successfully support a qualifying individual’s enrollment and ongoing participation in the State Home Care program.